Scott McMenemy MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G8275 Issued in TX

Legal business name

SCOTT MCMENEMY MD PA

Practice address

3425 Highway 6
Suite 105
Sugar Land, TX 77478-4512

Phone

(281) 980-3376

Fax

(281) 265-5548

NPI assigned

Feb 22, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott David McMenemy, M.D.NPI 1528067618

Title

Owner, President

Phone

(281) 980-3376

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott David McMenemy, M.D.

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1528067618
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1184759888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 6",
            "address_2": "SUITE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784512",
            "telephone_number": "281-980-3376",
            "fax_number": "281-265-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 6",
            "address_2": "SUITE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784512",
            "telephone_number": "281-980-3376",
            "fax_number": "281-265-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT MCMENEMY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "MCMENEMY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "281-980-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G8275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00038236",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "00A94Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie J Schulze
• Keith E Schulze, M.D.
• Rebecca M Schwartz, DPM
• Robin Schwartz
• Michelle L. Scofield, PA-C
• Ellen Scott, MS, LPC ASSOCIATE
• Jeremy Jacobi Scott
• Kanisha Teria Scott, LMSW
• Laurel Scott, M.D.
• Shanikka Scott

• Dermatology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.

Verify at the official NPI Registry.