TIMOTHY PHILIP SCOTT (NPI# 1780843821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780843821 |
| Entity Type | Individual |
| Full Name | TIMOTHY PHILIP SCOTT |
| Credential | PA-C |
| Practice Address |
26750 Providence Pkwy Suite 200 Novi MI 48374-1211 |
| Mailing Address |
18444 N 25th Ave Suite 310 Phoenix AZ 85023-1261 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2014-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 5601005255 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005255 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005255 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568734069 | Timothy Albert Scott | Counselor | 311 W Main St., Canton, OK 73724-0281 | 2012-01-31 |
| 1437482478 | Timothy Edward Scott | Military Health Care Provider | 414 Water St, Appt 2201, Baltimore, MD 21202-3203 | 2009-09-09 |
| 1962416016 | Timothy Brian Scott | Dentist | 716 W South St, Benton, AR 72015-4160 | 2006-07-27 |
| 1578539102 | Timothy J. Scott | Podiatrist | 22905 Route 68, Clarion, PA 16214-8557 | 2006-02-24 |
| 1639176159 | Timothy D Scott | Chiropractor | 1005 Marion Rd, Bucyrus, OH 44820-3104 | 2005-06-30 |
| 1992310643 | Timothy Wade Scott | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-09-10 |
| 1255737862 | Timothy David Scott | Social Worker | 111 County Cir, Middlesex House, Room 205, Amherst, MA 01003-9255 | 2014-11-10 |
| 1942636642 | Timothy Scott | Speech-Language Pathologist | 350 S 8th St, Lebanon, OR 97355-2242 | 2013-09-25 |
| 1871837948 | Timothy Scott | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2012-11-15 |
| 1346555240 | Timothy Michael Scott | Emergency Medicine | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2010-08-16 |
| Street Address |
26750 PROVIDENCE PKWY SUITE 200 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750367009 | John D Miller | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2005-12-19 |
| 1851941462 | Lisa Sue Hoatlin | Occupational Therapist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2019-09-16 |
| 1699292698 | Jesse Ray Steenwyk | Specialist/Technologist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2017-08-29 |
| 1336598283 | James Allen Hyland | Physician Assistant | 26750 Providence Pkwy, # 220, Novi, MI 48374-1211 | 2016-06-10 |
| 1225430929 | Carol R. Grimmer | Nurse Practitioner | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2014-09-24 |
| 1053758391 | Porretta Center for Orthopaedic Surgery PC | Durable Medical Equipment & Medical Supplies | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1211 | 2013-05-28 |
| 1902101520 | Vhs Physicians of Michigan | Orthopaedic Surgery | 26750 Providence Pkwy, Suite 210, Novi, MI 48374-1211 | 2011-01-12 |
| 1609006279 | William K. Kesto | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2009-07-17 |
| 1144457102 | Associated Podiatrists,pc | Podiatrist | 26750 Providence Pkwy, Suite 130, Novi, MI 48374-1211 | 2009-06-17 |
| 1417113036 | Erik Brian Eller | Specialist | 26750 Providence Pkwy, Ste 200, Novi, MI 48374-1212 | 2008-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902916570 | Alexander - Robertson IIi | Physician Assistant | 44645 Kerri Ct, Novi, MI 48375-1573 | 2006-08-30 |
| 1346885910 | Merissa May Garmo | Physician Assistant | 30880 Beck Rd, Novi, MI 48377-1000 | 2019-11-07 |
| 1053893263 | Jessica L Gelfand | Physician Assistant | 26750 Providence Pkwy Ste 200, Novi, MI 48374-1212 | 2018-09-04 |
| 1710390950 | Matthew David Paradiso | Physician Assistant | 47601 Grand River Ave, Providence Park Hospital, Novi, MI 48374 | 2014-06-05 |
| 1245224161 | Karen C Magowan | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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| 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.