Organization Active NPI

Scott R Nelson, D.O., P.a.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Amarillo, TX
National Provider Identifier
1235220443
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
G3643 Issued in TX
Legal business name
SCOTT R NELSON, D.O., P.A.
Practice address
3611 Soncy Rd, Suite 5-B
Amarillo, TX 79119
Phone
(806) 467-9400
Fax
(806) 467-1933
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Scott R Nelson, D.O.
Title
Physician
Phone
(806) 467-9400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PE0005X G3643 TX Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0011X G3643 TX
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X G3643 TX

Addresses

Primary practice location

3611 Soncy Rd, Suite 5-B
Amarillo, TX 79119

Mailing address

2223 S Hayden
Amarillo, TX 79109
Phone (806) 467-9400

Other identifiers 1

IdentifierTypeStateIssuer
1285696278OtherTXNPI

National Provider Directory

National Provider Directory

Locations

3611 S Soncy Rd
Ste 5B
Amarillo, TX 79119
Phone (806) 467-9400

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1235220443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 S HAYDEN",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-467-9400",
            "fax_number": "806-467-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SONCY RD, SUITE 5-B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-467-9400",
            "fax_number": "806-467-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R NELSON, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "806-467-9400",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "G3643",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "G3643",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "G3643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285696278",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

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