Individual provider Active NPI

Scott Thomas Wiley, P.A.

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1134210768
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2144 Issued in AZ
Practice address
2270 S Ridgeview Dr Ste 201
Yuma, AZ 85364-8880
Phone
(928) 344-5055
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2144 AZ Primary

Addresses

Primary practice location

2270 S Ridgeview Dr Ste 201
Yuma, AZ 85364-8880

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818001081 AZ Practitioner - Physician Assistant 5991778722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2270 S Ridgeview Dr
Suite 128
Yuma, AZ 85364-8875
Phone (928) 344-5055

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2144AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Mar 5, 2019 Accepting new patients
Patricia Gabriel DO Associates LLC Past Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

1965 W 24th St
Ste A
Yuma, AZ 85364
Phone (928) 344-5774

2400 S Avenue A
Ste A
Yuma, AZ 85364

1025 W 24th St
Ste 26
Yuma, AZ 85364
Phone (928) 318-6910

2270 S Ridgeview Dr
Ste 130
Yuma, AZ 85364
Phone (928) 344-5055

11142 S Scottsdale Dr
Yuma, AZ 85367
Phone (928) 336-1815

2451 S Avenue A
Ste A104
Yuma, AZ 85364
Phone (928) 336-2164

2500 S 8th Ave
Ste 200
Yuma, AZ 85364
Phone (928) 336-7095

2270 S Ridgeview Dr
Ste 201
Yuma, AZ 85364
Phone (928) 344-5055

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4875/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1134210768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DR STE 201",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648880",
            "telephone_number": "928-344-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "85364",
            "country_code": "US",
            "telephone_number": "928-336-7100",
            "fax_number": "928-336-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.