DR. MICHAEL D SCOTT (NPI# 1790763571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790763571 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D SCOTT |
| Credential | MD |
| Practice Address |
5404 Fairview Ave Downers Grove IL 60515-5332 |
| Practice Telephone | 6309211606 |
| Mailing Telephone | 6309211606 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2009-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036100296 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036100296 | 05 | |
| IL | 036100296-4 | 05 | |
| IL | BLUE SHIELD | 3932056 | 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 |
5404 FAIRVIEW AVE |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386987170 | Benazir Baig | Emergency Medicine | 3851 Highland Avenue, Downers Grove, IL 60515 | 2013-04-01 |
| 1780887612 | Lauren Ann Dawson | Emergency Medicine | 4944 Cumnor Rd, Downers Grove, IL 60515-3939 | 2007-06-07 |
| 1154337988 | Bradly Healton | Emergency Medicine | 30000 Woodcreek Dr, 200b, Downers Grove, IL 60515 | 2006-08-01 |
| 1093715815 | Marc R. Spiller | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2005-07-22 |
| 1922530047 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 1560 75th St, Downers Grove, IL 60516-6207 | 2017-03-29 |
| 1881009082 | Aristides Alexander | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2014-06-25 |
| 1871933606 | Jessica Rene Mayle | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2013-06-25 |
| 1760776090 | Christina Georgopoulos Livak | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2011-06-03 |
| 1730345562 | Jessica Sime | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2008-07-31 |
| 1184893687 | Dipul V. Patadia | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2008-02-28 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on DR. MICHAEL D 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.