Individual provider Active NPI

Scott Werner, PA-C

  • Pain Medicine Physician
  • Farr West, UT
National Provider Identifier
1043299357
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
215461-1206 Issued in UT
Practice address
2850 N 2000 W Ste 203
Farr West, UT 84404
Phone
(801) 689-3389
Fax
(801) 689-3389
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 215461-1206 UT
Pain Medicine Physician 208VP0000X 215461-1206 UT Primary

Addresses

Primary practice location

2850 N 2000 W Ste 203
Farr West, UT 84404

Mailing address

2850 N 2000 W Ste 203
Farr West, UT 84404-9230
Phone (801) 689-3389

Other practice location 1

286 N Gateway Dr Ste 203
Providence, UT 84332-5602
Phone (801) 689-3389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20110421000061 UT Practitioner - Physician Assistant 3779768593 Reassigns benefits to 2 organizations

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
Peak Health and Wellness LLCGroup PAC ID 7719202498, 3 clinicians

Practice addresses (Care Compare)

2850 N 2000
Suite 203
Farr West, UT 84404-9230
Phone (801) 689-3389

890 Heritage Park Blvd
Suite 101
Layton, UT 84041-5622
Phone (801) 689-3389

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215461-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Corporation of Utah Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: scott.werner@809888751091716.direct.elationemr.com

Organizations & group practices 3

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1043299357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W STE 203",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049230",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W STE 203",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 N Gateway Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843325602",
            "country_code": "US",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "215461-1206",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "UT",
            "license": "215461-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farr West, UT

Sources for this page

Verify at the official NPI Registry.