Active NPI
Scott Coatsworth, M.D.
- Cardiovascular Disease Physician
- Lincoln, NE
National Provider Identifier
1043324783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 15953
- Practice address
- 1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275 - Phone
- (402) 483-3333
- Fax
- (402) 483-3297
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 15953 | NE | Primary |
| Internal Medicine Physician | 207R00000X | 15953 | NE |
Addresses
Primary practice location
1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275
Mailing address
1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275
Phone (402) 483-3333
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100420540B | Medicaid | KS | |
| 7702830 | Medicaid | SD | |
| 202089413 | Medicaid | MO | |
| 5914481 | Medicaid | IA | |
| 47084496100 | Medicaid | NE | |
| 6914481 | Medicaid | IA | |
| 100420540A | Medicaid | KS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1043324783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 48TH ST",
"address_2": "SUITE 600",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061275",
"telephone_number": "402-483-3333",
"fax_number": "402-483-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 48TH ST",
"address_2": "SUITE 600",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061275",
"telephone_number": "402-483-3333",
"fax_number": "402-483-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATSWORTH",
"first_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NE",
"license": "15953",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "15953",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100420540B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702830",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202089413",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5914481",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47084496100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6914481",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100420540A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.