Individual provider Active NPI

Scott Lawrence Zollett, MD

  • Internal Medicine Physician
  • Middletown, OH
National Provider Identifier
1013990233
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.040112 Issued in OH
Practice address
200 Medical Center Dr
Suite 490
Middletown, OH 45005-5182
Phone
(513) 424-1291
Fax
(513) 424-9422
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.040112 OH Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 490
Middletown, OH 45005-5182

Mailing address

200 Medical Center Dr
Suite 490
Middletown, OH 45005-5182
Phone (513) 424-1291

Other identifiers 3

IdentifierTypeStateIssuer
0323555MedicaidOH
000000006953OtherOHANTHEM PROVIDER NUMBER
310898766OtherOHALL OTHER INSURANCE COMPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.040112OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zollett Medical Associates, Inc. PastSince Jan 1, 1977 Accepting new patients

Organizations & group practices 1

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1013990233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 490",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055182",
            "telephone_number": "513-424-1291",
            "fax_number": "513-424-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 490",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055182",
            "telephone_number": "513-424-1291",
            "fax_number": "513-424-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLETT",
        "first_name": "SCOTT",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.040112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323555",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000006953",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCE COMPA",
            "identifier": "310898766",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.