Individual provider Active NPI

Scott Collorone, P.A.

  • Medical Physician Assistant
  • Norwood, MA
National Provider Identifier
1164899050
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5369 Issued in MA
Practice address
1210 Boston Providence Tpke
Norwood, MA 02062-5061
Phone
(781) 255-0500
Fax
(781) 255-0400
NPI assigned
Aug 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5369 MA Primary

Addresses

Primary practice location

1210 Boston Providence Tpke
Norwood, MA 02062-5061

Mailing address

1210 Boston Providence Tpke
Norwood, MA 02062-5061
Phone (781) 255-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20151020002314 MA Practitioner - Physician Assistant 1355650052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of New England, College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woonsocket Urgent Care PCGroup PAC ID 1951305168, 23 clinicians

Practice addresses (Care Compare)

103 Providence Hwy
East Walpole, MA 02032-1512
Phone (781) 255-0500

2 -4 Mercer Rd
Natick, MA 01760-2452
Phone (508) 318-4466

4 Mercer Rd
Natick, MA 01760-2415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA5369MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Woonsocket Urgent Care PC CurrentSince Aug 30, 2015 Accepting new patients
Woonsocket Urgent Care, PC CurrentSince Aug 30, 2015 Accepting new patients

Locations

1 Wrentham St
Bellingham, MA 02019
Phone (508) 318-4466

103 Providence Hwy
East Walpole, MA 02032
Phone (781) 255-0500

103 Providence Hwy
Ste B
East Walpole, MA 02032
Phone (781) 255-0500

4 Mercer Rd
Natick, MA 01760
Phone (508) 318-4466

2-4 Mercer Rd
Natick, MA 01760
Phone (508) 318-4466

1210 Boston Providence Tpke
Norwood, MA 02062
Phone (781) 255-0500

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.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1164899050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BOSTON PROVIDENCE TPKE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625061",
            "telephone_number": "781-255-0500",
            "fax_number": "781-255-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BOSTON PROVIDENCE TPKE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625061",
            "telephone_number": "781-255-0500",
            "fax_number": "781-255-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLORONE",
        "first_name": "SCOTT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.