Mary E Scott M.D Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35075360S Issued in OH

Legal business name

MARY E SCOTT M.D INC.

Practice address

4488 W Broad St
Columbus, OH 43228-5610

Phone

(614) 878-0470

Fax

(614) 878-1439

NPI assigned

Apr 19, 2007

Last updated

Sep 13, 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. Mary E Scott, M.D.

Title

Owner

Phone

(614) 878-0470

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1215154471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432285610",
            "telephone_number": "614-878-0470",
            "fax_number": "614-878-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432285610",
            "telephone_number": "614-878-0470",
            "fax_number": "614-878-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E SCOTT M.D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-878-0470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075360S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.