Active NPI
Scott R Short, M.D.
- Pain Medicine (Psychiatry & Neurology) Physician
- Toledo, OH
National Provider Identifier
1053460691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- License
- 35-07-8534 S
- Practice address
- 3425 Executive Pkwy
Suite 230
Toledo, OH 43606-1326 - Phone
- (419) 531-3500
- Fax
- (419) 531-1877
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35-07-8534 S | OH | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 35-07-8534 S | OH | Primary |
Addresses
Primary practice location
3425 Executive Pkwy
Suite 230
Toledo, OH 43606-1326
Mailing address
P O Box 74872
Cleveland, OH 44194-4872
Phone (419) 531-3500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Stresscare Behavioral Health, Inc. | Past | Accepting new patients | |
| Medical Emergency Treatment Corporation | Past | Accepting new patients |
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Maumee, OH
- NPI 1437111861
-
- Cognitive & Behavioral Psychologist
- Toledo, OH
- NPI 1295868651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1053460691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 74872",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441944872",
"telephone_number": "419-531-3500",
"fax_number": "419-531-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 EXECUTIVE PKWY",
"address_2": "SUITE 230",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061326",
"telephone_number": "419-531-3500",
"fax_number": "419-531-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "SCOTT",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-07-8534 S",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "OH",
"license": "35-07-8534 S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.