MEDICARE: DR. SCOTT ARTHUR MONTEITH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	4301056509	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	260-33-0631-2	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1104866227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ARTHUR MONTEITH M.D.

Provider Business Mailing Address
First Line	:	526 W 14TH ST
Second Line	:	SUITE 186
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4051
Country	:	US
Telephone Number	:	231-929-2550
Fax Number	:	231-929-2550

Provider Business Practice Location Address
First Line	:	526 W 14TH ST
Second Line	:	SUITE 186
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4051
Country	:	US
Telephone Number	:	231-775-3463
Fax Number	:	231-929-2550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	04/20/2023

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