Active NPI
Shekyla Nicole Scott, M.D.
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301088443
- Practice address
- 4201 Saint Antoine St
6G Uhc/Dept of Emergency Medicine
Detroit, MI 48201-2153 - Phone
- (313) 433-5984
- NPI assigned
- May 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301088443 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
6G Uhc/Dept of Emergency Medicine
Detroit, MI 48201-2153
Mailing address
20114 Saint Francis St
Livonia, MI 48152-2348
Phone (313) 433-5984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000
Hospital & facility affiliations
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088443 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Medical Group LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Associates of Tampa Bay, LLC | Emergency Medicine | Current | Accepting new patients |
| Observation Medical Group LLC | Emergency Medicine | Current | Accepting new patients |
| Continuum Healthcare Providers West Florida LLC | Emergency Medicine | Past | Accepting new patients |
Locations
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
2502 W Saint Isabel St
Tampa, FL 33607
Phone (813) 874-5707
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 870-4000
Interoperability endpoints
- https://api.platform.athenahealth.com/21347/brand/1/csg/1/fhir/r4
- shekyla.scott.1@21347.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1952763682
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Riverview, FL
- NPI 1467094425
-
- Family Nurse Practitioner
- Bradenton, FL
- NPI 1609342708
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1942476676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20114 SAINT FRANCIS ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522348",
"telephone_number": "313-433-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "6G UHC/DEPT OF EMERGENCY MEDICINE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-433-5984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SHEKYLA",
"middle_name": "NICOLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-02",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301088443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.