Active NPI
John Harold Scott, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Coppell, TX
National Provider Identifier
1104146901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- E-5930
- Practice address
- 718 Bella Vista Drive
Coppell, TX 75019 - Phone
- (940) 867-1128
- NPI assigned
- Jun 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | E-5930 | TX | Primary |
Addresses
Primary practice location
718 Bella Vista Drive
Coppell, TX 75019
Mailing address
P.O. Box 277
Bluegrove, TX 76352
Phone (940) 867-1128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83P170 | Other | TX | BLUE CROSS/BLUE SHIELD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5930 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1104146901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 277",
"city": "BLUEGROVE",
"state": "TX",
"postal_code": "76352",
"telephone_number": "940-867-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 BELLA VISTA DRIVE",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "940-867-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JOHN",
"middle_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "E-5930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "83P170",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.