William J Scott DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003494 Issued in OH

Legal business name

WILLIAM J SCOTT DPM INC

Practice address

10325 Dewhurst Rd
Elyria, OH 44035-8403

Phone

(440) 973-8199

Fax

(513) 858-7827

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

William J Scott, DPMNPI 1669695516

Title

Owner

Phone

(440) 973-8199

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William J Scott, D.P.M.

  • Podiatrist
  • Elyria, OH
  • NPI 1669695516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1043614704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "SUITE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "513-829-9333",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 DEWHURST RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440358403",
            "telephone_number": "440-973-8199",
            "fax_number": "513-858-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J SCOTT DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-973-8199",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paiton Ann Widener
• Lindsey Wiegmann, PHARMD
• Lucinda Wiles
• Taylor Wilfong
• William C Deak DDS and Karen Kramer DDS, Inc
• Chrystal Williams-Smith
• Briana Williams
• Manzie Lee Williams, MSED., ATC
• Sarah Lynn Williams
• Florencia Willis

• Podiatrist in Elyria, OH
• Providers in Elyria, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.