Scott Grodman Dpm Pc
Podiatrist
9300 Pardee Rd, Suite A, Taylor
Michigan, 48180-3528
313-295-1620 313-295-1622
Scott Grodman Dpm Pc is a Podiatrist in Taylor, Michigan. It is located at 9300 Pardee Rd, Suite A, Taylor and it's customer support contact number is 313-295-1620. The authorized person of Scott Grodman Dpm Pc is Scott T Grodman, DPM who is Owner of this DME and his contact number is 313-295-1620. Active license number of Scott Grodman Dpm Pc is 001478 for Podiatrist in Michigan. Scott Grodman Dpm Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Scott Grodman Dpm Pc is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Scott Grodman Dpm Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Scott Grodman Dpm Pc |
| Type: | Podiatrist |
| Location: | 9300 Pardee Rd, Suite A, Taylor,
Michigan, 48180-3528 |
| Phone: | 313-295-1620 |
| Fax: | 313-295-1622 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Scott T Grodman |
| Credentials: | DPM |
| Position: | Owner |
| Contact Number: | 313-295-1620 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1750564050 |
| NPI Enumeration Date: | 10 Dec, 2007 |
| NPI Last Update On: | 03 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Scott Grodman Dpm Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | 001478 | Michigan | Primary | |
| Durable Medical Equipment & Medical Supplies | 001478 | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2948227 | Medicaid | Michigan | |
| 4858213180 | Other | Michigan | Bc |
| 480H244260 | Other | Michigan | Bc |
| 540H22790 | Other | Michigan | Bcbs Dme |
Medicare Enrollment:
Scott Grodman Dpm Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4082767322 | O20090804000059 | Scott Grodman Dpm Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 4082767322 | O20100930008982 | Scott Grodman Dpm Pc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9300 Pardee Rd, Suite A
Taylor, Michigan |
| Zip: | 48180-3528 |
| Phone Number: | 313-295-1620 |
| Fax Number: | 313-295-1622 |
Patients can reach Scott Grodman Dpm Pc at
9300 Pardee Rd, Suite A, Taylor, Michigan or can
call on customer care at 313-295-1620.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.