MEDICARE: DR. SCOTT H. KLEIMAN D.O.

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	207P00000X	Emergency Medicine Physician	5101011369	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

General Provider Information

NPI Number	:	1942257407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT H. KLEIMAN D.O.

Provider Business Mailing Address
First Line	:	26901 BEAUMONT BLVD STE 3D
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-3849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	461 W HURON ST
Second Line	:	NOMC EMERCENCY CENTER
City	:	PONTIAC
State	:	MI
Zip	:	48341-1601
Country	:	US
Telephone Number	:	248-857-7440
Fax Number	:	248-857-6992

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	07/21/2022

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