Active NPI
Scott Edward Knowlton, DO
- Anesthesiology Physician
- Berlin, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H0065789
- Practice address
- 9733 Healthway Drive
Berlin, MD 21811-1288 - Phone
- (410) 641-9450
- Fax
- (410) 641-9515
- NPI assigned
- Jun 29, 2007
- Last updated
- Feb 10, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | H0065789 | MD | Primary |
Addresses
Primary practice location
9733 Healthway Drive
Berlin, MD 21811-1288
Mailing address
10026 Old Ocean City Blvd
Building One
Berlin, MD 21811-1288
Phone (410) 641-9450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00463615 | Other | MD | RAILROAD MEDICARE |
| P00463615 CD0426 | Other | RAILROAD MEDICARE | |
| KP95S106 | Other | UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 441-1078
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0065789 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Anesthesia Associates, PA | Anesthesiology | Current | Accepting new patients |
| Atlantic Immedicare LLC | Past | Accepting new patients |
Locations
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
Interoperability endpoints
- sknowlton24948@beebehealth.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Lewes, DE
- NPI 1578618930
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1043417314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10026 OLD OCEAN CITY BLVD",
"address_2": "BUILDING ONE",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111288",
"telephone_number": "410-641-9450",
"fax_number": "410-641-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9733 HEALTHWAY DRIVE",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111288",
"telephone_number": "410-641-9450",
"fax_number": "410-641-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLTON",
"first_name": "SCOTT",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "H0065789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00463615",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00463615 CD0426",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNSPECIFIED",
"identifier": "KP95S106",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
- Lee Warren Klepper, MD
- John Franklin Knight, DDS
- KNJ Properties LLC (Berlin Interventional Pain Management)
- KNJ Properties LLC (Delmarva Spine and Pain)
- Brook Knowlton, LCPC
- Bibiana D Koh, LICSW
- Heather Kohli-Werner, PA-C
- Konlian, O'Neill & Associates (Aquacare Physical Therapy)
- Konlian,O'Neill & Associates, P.a. (Aquacare Physical Therapy)
- Tatianna Krastev
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.