Individual provider Active NPI

David Anthony Scola, M.D.

  • Psychiatry Physician
  • Pueblo West, CO
National Provider Identifier
1144318064
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD025707E Issued in PA
Practice address
1220 S Liberty Point Blvd
Pueblo West, CO 81007-7513
Phone
(719) 649-4644
Fax
(719) 547-0652
NPI assigned
Oct 10, 2006
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MD025707E PA
Psychiatry Physician 2084P0800X MD025707E PA Primary

Addresses

Primary practice location

1220 S Liberty Point Blvd
Pueblo West, CO 81007-7513

Mailing address

1220 S Liberty Point Blvd
Pueblo West, CO 81007-7513
Phone (719) 649-4644

Other identifiers 2

IdentifierTypeStateIssuer
25170279MedicaidCO
1035207MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000196 CO Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3577645886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Temple University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Constitution Rd
Pueblo, CO 81001-2132
Phone (719) 562-7200

2611 Jones Ave
Pueblo, CO 81004-2650
Phone (719) 564-1735

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD025707EPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geropsych, PC Geriatric Psychiatry CurrentSince Feb 20, 2009 Accepting new patients
David a. Scola, M.D.P.C. Past Accepting new patients

Locations

1601 Constitution Rd
Pueblo, CO 81001
Phone (719) 562-7200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1144318064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S LIBERTY POINT BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810077513",
            "telephone_number": "719-649-4644",
            "fax_number": "719-547-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S LIBERTY POINT BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810077513",
            "telephone_number": "719-649-4644",
            "fax_number": "719-547-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLA",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD025707E",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD025707E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25170279",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035207",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

Verify at the official NPI Registry.