Active NPI
Elisabeth Scott, MD
- Family Medicine Physician
- Canby, OR
National Provider Identifier
1124094099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD154529
- Practice address
- 178 SW 2ND Ave
Canby, OR 97013-4152 - Phone
- (503) 416-1960
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2002-01525 | NC | |
| Family Medicine Physician | 207Q00000X | MD154529 | OR | Primary |
Addresses
Primary practice location
178 SW 2ND Ave
Canby, OR 97013-4152
Mailing address
6420 SW Macadam Ave
300
Portland, OR 97239-3507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500635004 | Medicaid | OR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002-01525 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Medical Associates, PA | Past | Accepting new patients | |
| Lenoir HM Services LLC | Past | Accepting new patients | |
| Neighborhood Health Center | Family Medicine | Past | Accepting new patients |
| Neighborhood Health Center | Family Medicine | Past | Accepting new patients |
| Eastern Medical Associates, PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Milwaukie, OR
- NPI 1083984264
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1457902561
Family Medicine
-
- General Practice Physician
- Goldsboro, NC
- NPI 1194762807
-
- Family Medicine Physician
- Pikeville, NC
- NPI 1922045673
-
- Hospitalist Physician
- Kinston, NC
- NPI 1194031757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1124094099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 SW MACADAM AVE",
"address_2": "300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 SW 2ND AVE",
"city": "CANBY",
"state": "OR",
"postal_code": "970134152",
"telephone_number": "503-416-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ELISABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2002-01525",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD154529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500635004",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canby, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.