Individual provider Active NPI

Candice Colleen Colby-Scott, M.D.

  • Otology & Neurotology Physician
  • Midland, MI
National Provider Identifier
1922268119
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
4301105334 Issued in MI
Practice address
801 Joe Mann Blvd Ste H
Midland, MI 48642-8909
Phone
(989) 835-8720
NPI assigned
Jun 11, 2008
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 4301105334 MI Primary

Addresses

Primary practice location

801 Joe Mann Blvd Ste H
Midland, MI 48642-8909

Mailing address

801 Joe Mann Blvd Ste H
Midland, MI 48642-8909
Phone (989) 794-5405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001117 MI Practitioner - Otolaryngology 1850602939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
GLB ENT PLLCGroup PAC ID 9537694708, 4 clinicians

Practice addresses (Care Compare)

715 E Main St
Suite 115
Midland, MI 48640-5488
Phone (989) 486-1457

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301105334MIMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Mar 1, 2021 Accepting new patients
GLB ENT PLLC Otology & Neurotology CurrentSince Oct 1, 2024 Accepting new patients
McLaren Medical Group CurrentSince Mar 1, 2021 Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

715 E Main St
Ste 115
Midland, MI 48640
Phone (989) 486-1457

801 Joe Mann Blvd
Ste H
Midland, MI 48642
Phone (989) 794-5405

801 Joe Mann Blvd
Ste J
Midland, MI 48642
Phone (989) 794-5405

560 W Mitchell St
Ste 250
Petoskey, MI 49770
Phone (231) 487-3277

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1922268119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE H",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428909",
            "telephone_number": "989-794-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE H",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428909",
            "telephone_number": "989-835-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY-SCOTT",
        "first_name": "CANDICE",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MI",
            "license": "4301105334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.