Individual provider Active NPI

Lisa C Scott, PHYSICIANS ASSISTANT

  • Physician Assistant
  • Oakland, MD
National Provider Identifier
1003943465
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C01892 Issued in MD
Practice address
69 Wolf Acres Drive
Oakland, MD 21550
Phone
(301) 334-4400
Fax
(301) 334-8228
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C01892 MD Primary

Addresses

Primary practice location

69 Wolf Acres Drive
Oakland, MD 21550

Mailing address

69 Wolf Acres Drive
Oakland, MD 21550
Phone (301) 334-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000582 MD Practitioner - Physician Assistant 2163410150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrett Treatment Center LLCGroup PAC ID 9436416864, 2 clinicians

Practice addresses (Care Compare)

233 E Alder St
Suite a
Oakland, MD 21550-1513
Phone (301) 533-2888

233 E Alder St a
Garrett Treatment Center
Oakland, MD 21550-1513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1003943465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DRIVE",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "21550",
            "telephone_number": "301-334-4400",
            "fax_number": "301-334-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DRIVE",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "21550",
            "telephone_number": "301-334-4400",
            "fax_number": "301-334-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "PHYSICIANS ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C01892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.