Individual provider Active NPI

Mark Kevin Scott, D.C.

  • Chiropractor
  • Ashland, KY
National Provider Identifier
1083619217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4395 Issued in KY
Practice address
1317 Montgomery Ave
Ashland, KY 41101-2633
Phone
(606) 329-9311
Fax
(606) 324-9493
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4395 KY Primary

Addresses

Primary practice location

1317 Montgomery Ave
Ashland, KY 41101-2633

Mailing address

1317 Montgomery Ave
Ashland, KY 41101-2633
Phone (606) 329-9311

Other identifiers 2

IdentifierTypeStateIssuer
85000248MedicaidKY
2206982MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000548 KY Practitioner - Chiropractic 7911920277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M. K. Scott, DC PSCGroup PAC ID 3274552328, 2 clinicians

Practice addresses (Care Compare)

1317 Montgomery Ave
Ashland, KY 41101-2633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M. K. Scott, DC PSC Chiropractor CurrentSince Sep 11, 2001 Accepting new patients

Locations

1317 Montgomery Ave
Ashland, KY 41101
Phone (606) 329-9311

Organizations & group practices 1

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083619217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 MONTGOMERY AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012633",
            "telephone_number": "606-329-9311",
            "fax_number": "606-324-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 MONTGOMERY AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012633",
            "telephone_number": "606-329-9311",
            "fax_number": "606-324-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000248",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206982",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.