DR. MATTIE MARY SANDRA SCOTT (NPI# 1629094982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629094982 |
| Entity Type | Individual |
| Full Name | DR. MATTIE MARY SANDRA SCOTT |
| Credential | M.D. |
| Practice Address |
8423 Holly Rd Ste B Grand Blanc MI 48439-2488 |
| Practice Telephone | 8106947095 |
| Practice Fax Number | 8106947224 |
| Mailing Telephone | 8106947095 |
| Mailing Fax Number | 8106947224 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301075129 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | P104137 | 01 |
| MI | TOTAL HEALTH CARE | 099270 | 01 |
| MI | UNITED HEALTH CARE | 2076271 | 01 |
| MI | MCARE | C6735 | 01 |
| MI | THE WELLNESS PLAN | 10111740001 | 01 |
| MI | HEALTH PLUS OF MICHIGAN | 0986090 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 1692504601 | 01 |
| MI | 4123288 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991467 | Mattie Scott | Pharmacist | 2000 John Harden Dr, Jacksonville, AR 72076-2730 | 2020-11-01 |
| Street Address |
8423 HOLLY RD STE B |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-2488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1023643913 | Lavanya Cherukuri Md PC | Obstetrics & Gynecology | 8384 Holly Rd Ste 2, Grand Blanc, MI 48439-1975 | 2020-03-11 |
| 1023678448 | Nicole Walker | Obstetrics & Gynecology | Medical Education Obgyn, 1 Genesys Parkway, Grand Blanc, MI 48434 | 2019-06-18 |
| 1205060761 | Kendra Lynn Johnson | Obstetrics & Gynecology | 5933 Woodfield Pkwy, Grand Blanc, MI 48439-9465 | 2009-05-12 |
| 1225202146 | Christopher D. Tykocki D.o. P.C. | Obstetrics & Gynecology | 8245 Holly Rd Ste 103, Grand Blanc, MI 48439-2443 | 2008-04-22 |
| 1174657449 | Brian D Heyman, Do, Plc | Obstetrics & Gynecology | 10683 S Saginaw St Ste B, Grand Blanc, MI 48439-8127 | 2007-03-16 |
| 1366544579 | Womens Specialty Associates, P.C. | Obstetrics & Gynecology | 3434 Regency Park Dr, Suite A, Grand Blanc, MI 48439 | 2006-09-01 |
| 1639184070 | Martin W Lapa | Obstetrics & Gynecology | 1595 Genesys Pkwy, Grand Blanc, MI 48439-8068 | 2006-07-31 |
| 1568498772 | Christopher David Tykocki | Obstetrics & Gynecology | 8245 Holly Rd, Suite 103, Grand Blanc, MI 48439-2443 | 2006-06-23 |
| 1528689775 | Lauren Miller | Obstetrics & Gynecology | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-04-29 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on DR. MATTIE MARY SANDRA 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.