Individual provider Active NPI

Scott A Washburn, MD

  • Obstetrics & Gynecology Physician
  • Winston-Salem, NC
National Provider Identifier
1033100177
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
38709 Issued in NC
Practice address
2927 Lyndhurst Ave
Winston-Salem, NC 27103-4005
Phone
(336) 765-9350
Fax
(336) 760-4255
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 38709 NC Primary

Addresses

Primary practice location

2927 Lyndhurst Ave
Winston-Salem, NC 27103-4005

Mailing address

3015 Maplewood Ave
Suite 203
Winston Salem, NC 27103-4075
Phone (336) 765-9350

Other identifiers 2

IdentifierTypeStateIssuer
8985886MedicaidNC
85886OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000009 NC Practitioner - Obstetrics/Gynecology 2769640614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

111 Hanestowne Court
Suite 151
Winston Salem, NC 27103-1749
Phone (919) 334-0150

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Jan 14, 2014 Accepting new patients

Locations

445 Pineview Dr
Ste 110
Kernersville, NC 27284
Phone (336) 993-4352

167 Moore Rd
Ste 1
King, NC 27021
Phone (919) 334-0150

1908 Caudle Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-9076

3015 Maplewood Ave
Ste 202
Winston Salem, NC 27103

111 Hanestown Ct
#151
Winston Salem, NC 27103
Phone (919) 334-0150

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

2927 Lyndhurst Ave
Winston Salem, NC 27103
Phone (336) 277-1650

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: swashburn161776@direct.novanthealth.org
  • Direct secure messaging: swashburn2792537@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: scott.washburn.1@7773.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1033100177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 MAPLEWOOD AVE",
            "address_2": "SUITE 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034075",
            "telephone_number": "336-765-9350",
            "fax_number": "336-760-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 LYNDHURST AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034005",
            "telephone_number": "336-765-9350",
            "fax_number": "336-760-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "38709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985886",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85886",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

Verify at the official NPI Registry.