Active NPI
Scott Innes MD PC
- Orthopaedic Surgery Physician
- Soldotna, AK
National Provider Identifier
1174051718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SCOTT INNES MD PC
- Practice address
- 240 Hospital PL Ste 204
Soldotna, AK 99669-7559 - Phone
- (907) 252-8063
- NPI assigned
- May 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Scott Innes, MD
- Title
- Owner
- Phone
- (907) 262-1080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
240 Hospital PL Ste 204
Soldotna, AK 99669-7559
Mailing address
240 Hospital PL Ste 204
Soldotna, AK 99669-7559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
240 Hospital Pl
#204
Soldotna, AK 99669
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Soldotna, AK
- NPI 1730165374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1174051718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 HOSPITAL PL STE 204",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 HOSPITAL PL STE 204",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697559",
"telephone_number": "907-252-8063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT INNES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-26",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "INNES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-262-1080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.