Grand Blanc Obstetrics & Gynecology PC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

4301075129 Issued in MI

Legal business name

GRAND BLANC OBSTETRICS & GYNECOLOGY PC

Practice address

8423 Holly Rd
Ste B
Grand Blanc, MI 48439-2487

Phone

(810) 694-7095

Fax

(810) 694-7224

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mattie Scott, MDNPI 1629094982

Title

President

Phone

(810) 694-7095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mattie Mary Sandra Scott, M.D.

  • Obstetrics & Gynecology Physician
  • Grand Blanc, MI
  • NPI 1629094982
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1972715977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 HOLLY RD",
            "address_2": "STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392487",
            "telephone_number": "810-694-7095",
            "fax_number": "810-694-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 HOLLY RD",
            "address_2": "STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392487",
            "telephone_number": "810-694-7095",
            "fax_number": "810-694-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-694-7095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "4301075129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Obstetrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.