NPIMap

Individual provider Active NPI

Randall Perry Scott, MD

  • Internal Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1235138744
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27944 Issued in AZ
Practice address
930 N. Switzer Canyon Dr.
Suite 202
Flagstaff, AZ 86001
Phone
(928) 779-5707
Fax
(928) 779-5737
NPI assigned
Jul 18, 2005
Reactivated
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27944 AZ Primary

Addresses

Primary practice location

930 N. Switzer Canyon Dr.
Suite 202
Flagstaff, AZ 86001

Mailing address

930 N. Switzer Canyon Dr.
Suite 202
Flagstaff, AZ 86001
Phone (928) 779-5707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000924 AZ Practitioner - Internal Medicine 9234116633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

715 N Beaver St
Suite a
Flagstaff, AZ 86001-3141
Phone (928) 779-5707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27944AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Medical Associates, P.C. Internal Medicine CurrentSince Mar 15, 2004 Accepting new patients

Locations

715 N Beaver St
Flagstaff, AZ 86001
Phone (623) 322-5700

715 N Beaver St
Ste A
Flagstaff, AZ 86001
Phone (623) 322-5700

930 N Switzer Canyon Dr
Ste 202
Flagstaff, AZ 86001
Phone (928) 779-5707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGGGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGGGBD/Endpoint/HGGGBD

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1235138744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N. SWITZER CANYON DR.",
            "address_2": "SUITE 202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-779-5707",
            "fax_number": "928-779-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N. SWITZER CANYON DR.",
            "address_2": "SUITE 202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-779-5707",
            "fax_number": "928-779-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RANDALL",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-09-03",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.