DR. MICHAEL SHANE SCOTT (NPI# 1275535551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275535551 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHANE SCOTT |
| Other Name | DR. SHANE SCOTT |
| Credential | D.O. |
| Practice Address |
118 Fairfield Dr Internal Medicine and Pediatric Clinic of New Albany New Albany MS 38652 |
| Mailing Address |
118 Fairfield Dr New Albany MS 38652 |
| Practice Telephone | 6625340898 |
| Practice Fax Number | 6625348905 |
| Mailing Telephone | 6625340898 |
| Mailing Fax Number | 6625348905 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 17807 | MS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 17807 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00125322 | 05 | |
| MS | TAX ID | 020700026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961169 | Michael Donald Scott | Counselor | 204 N Shannon Way, Mustang, OK 73064-2350 | 2020-11-01 |
| 1235755919 | Michael Scott | Technician | 3608 Camelot Dr Se, Grand Rapids, MI 49546-6072 | 2020-06-18 |
| 1912526450 | Michael Timothy Scott | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # S287, Stanford, CA 94305-2200 | 2020-04-14 |
| 1942852546 | Michael Allen Scott | Home Health | 9420 Summers Rd, Adamsville, OH 43802-9002 | 2019-07-12 |
| 1700342961 | Michael S Scott | Rehabilitation Counselor | 12298 Ingleside Rd, Princeton, WV 24739-4590 | 2019-02-13 |
| 1992292320 | Michael Scott | Technician | 98 S Martin Luther King Blvd, Las Vegas, NV 89106-4324 | 2018-04-20 |
| 1134628043 | Michael Lee Scott | Technician | 3705 4th St Se Apt B, Washington, DC 20032-5412 | 2018-02-06 |
| 1477952471 | Michael Dewayne Scott | Chiropractor | 9450 Mira Mesa Blvd, Suite C #620, San Diego, CA 92126-4801 | 2014-08-15 |
| 1629410220 | Michael Scott | Social Worker | 61 Skillman Ave Apt 2, Brooklyn, NY 11211-2208 | 2013-07-24 |
| 1700141470 | Michael Douglas Scott | Nurse Practitioner | 308 Oakwood Dr, Cumming, GA 30040-2140 | 2012-07-09 |
| Street Address |
118 FAIRFIELD DR INTERNAL MEDICINE AND PEDIATRIC CLINIC OF NEW ALBANY |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203286 | Eric David Harding | Internal Medicine | 118 Fairfield Dr, Internal Medicine and Pediatric Clinic of New Albany, New Albany, MS 38652 | 2005-05-31 |
| 1467000927 | Specialty Orthopedic Group of Ms, Pllc | Orthopaedic Surgery | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2019-08-28 |
| 1053887208 | Robert Steele Iv | Physician Assistant | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2018-10-15 |
| 1750889929 | Rebakah Lynnlee Wilson | Nurse Practitioner | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2018-01-23 |
| 1760928097 | Jamie Elizabeth Robinson | Nurse Practitioner | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2017-01-10 |
| 1073064820 | Kathleen E Minga | Family Medicine | 118 Fairfield Dr, New Albany, MS 38652 | 2016-10-17 |
| 1578959052 | Martha Paige Tomsic | Internal Medicine | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2015-04-10 |
| 1669760609 | James Matthew Rhinewalt | Internal Medicine | 118 Fairfield Dr, New Albany, MS 38652 | 2011-07-12 |
| 1407167547 | Lauren S Simpson | Pediatrics | 118 Fairfield Dr, New Albany, MS 38652 | 2010-06-23 |
| 1497875876 | Terri L Pounders | Family Medicine | 118 Fairfield Dr, New Albany, MS 38652 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778386 | Kyle Moore | Internal Medicine | 7603 Wilbur Rd, New Albany, OH 43054-9783 | 2018-11-03 |
| 1831626688 | L Chirumamilla, Md, PC | Internal Medicine | 3058 Wolf Lake Blvd, New Albany, IN 47150-9584 | 2017-05-11 |
| 1982808275 | David L Mccay | Internal Medicine | 2315 Green Valley Rd Ste 100, New Albany, IN 47150-4649 | 2007-06-12 |
| 1407983158 | Emori Bizer Carrara | Internal Medicine | 2630 Grant Line Road, New Albany, IN 47150-4053 | 2007-02-28 |
| 1346386836 | Vijendra S Mohan | Internal Medicine | 7277 Smiths Mill Road, Suite 250, New Albany, OH 43054 | 2007-01-30 |
| 1811073356 | Internal Medicine and Pediatric Clinic of New Albany, Pllc | Internal Medicine | 118 Fairfield Drive, New Albany, MS 38652-3319 | 2006-10-27 |
| 1033219043 | Willaim Bailey Stodghill | Internal Medicine | 624 E Market St, New Albany, IN 47150-2914 | 2006-09-22 |
| 1134178841 | Allen Lewis Jr. | Internal Medicine | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2006-05-09 |
| 1083696173 | Calvin E Warren Jr. | Internal Medicine | 7400 W Campus Rd, Aetna F489, New Albany, OH 43054-8725 | 2005-11-15 |
| 1346247798 | Thomas Andrew Shands | Internal Medicine | 300 Oxford Rd, New Albany, MS 38652-3117 | 2005-06-30 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on DR. MICHAEL SHANE SCOTT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.