Individual
DAN S SCIUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1659 TRAIL RIDGE AVE, PORTAGE, MI 49024
(269) 998-5398
Mailing address
1659 TRAIL RIDGE AVE, PORTAGE, MI 49024-4900
(269) 998-5398
(269) 341-7781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078831
MI
208M00000X
Hospitalist Physician
Primary
4301078831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G56008
MEDICARE GROUP
MI
01
—
1107500612
BCBS PIN
MI
01
—
143068
GREAT LAKES HEALTH PLAN-T
MI
01
—
382317300 107
COMM CHOICE MI-WP
MI
01
—
382317300 140
COMM CHOICE MI-IM
MI
01
—
382317300 154
COMM CHOICE MI-TR
MI
05
—
4347244 10
—
MI
05
—
4460009 10
—
MI
05
—
4601303 10
—
MI
05
—
4848285
—
MI
05
—
4938130 10
—
MI
01
—
700G560080
BCBS GROUP
MI
Enumeration date
11/16/2005
Last updated
04/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us