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Jacob P Scott

Internist Pulmonary Disease

4100 Lake Dr Se Suite 200
Grand Rapids , Michigan 49546-8292

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Jacob P Scott

Internist Pulmonary Disease

4100 Lake Dr Se Suite 200
Grand Rapids , Michigan 49546-8292

(616) 486-6702

Write a Review Save Call

Jacob P Scott

Internist Pulmonary Disease

4100 Lake Dr Se Suite 200
Grand Rapids , Michigan 49546-8292

(616) 486-6702 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Pulmonary Disease

Languages spoken

  • English

Location

4100 Lake Dr Se Suite 200 Grand Rapids , Michigan 49546-8292

First Address

  • Jacob P Scott
  • 100 Michigan St Ne Mc845
  • Grand Rapids, MI
  • Zip : 49503-2560
  • Fax : (616) 486-6702
  • Phone : (616) 486-6557

Second Address

  • Jacob P Scott
  • 4100 Lake Dr Se Suite 200
  • Grand Rapids, MI
  • Zip : 49546-8292
  • Fax : (616) 267-7272
  • Phone : (616) 267-8244

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FAQs


Where did Jacob P Scott attend graduate school?

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Where did Jacob P Scott do his residency?

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Where did Jacob P Scott do his fellowship?

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Is Jacob P Scott board certified?

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What type of doctor is Jacob P Scott

Pulmonary Disease

In what state does Jacob P Scott practice in?

Michigan

Where is Jacob P Scott ’s practice located?

4100 Lake Dr Se Suite 200 , Grand Rapids, Michigan, 49546-8292

What is Jacob P Scott ’s gender?

Male

Is Jacob P Scott a sole practitioner?

No

Is Jacob P Scott accepting new patients?

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What languages does Jacob P Scott speak?

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Does Jacob P Scott accept insurance?

Yes, Jacob P Scott accepts insurance

Does Jacob P Scott offers telemedicine?

Jacob P Scott has not indicated if he offers telemedicine

What is Jacob P Scott ’s professional license number?

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What is Jacob P Scott ’s NPI number?

1033309380

Does Jacob P Scott have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 50966 MN
N 111NI0900X Internist 50966 MN
Y 207RP1001X Pulmonary Disease 4301097324 MI

National Provider Identifier

NPI 1033309380
Provider Name Jacob P Scott
First Address Grand Rapids, MI 49503-2560
Second Address Grand Rapids, MI 49546-8292
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/08/2007
Last Update Date 24/02/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1033309380 (05) MI
ENROLLED (05) MN
P00746352 MEDIICARE, RAILROAD (01) MN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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