Waco PM&R Group, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J8763 Issued in TX

Legal business name

WACO PM&R GROUP, PA

Practice address

50 Hillcrest Medical Blvd.
Suite 104
Waco, TX 76712

Phone

(254) 753-7200

Fax

(254) 753-0388

NPI assigned

Nov 18, 2005

Last updated

Jan 27, 2010By 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. Richard E Scott Jr., D.O.NPI 1972599157

Title

President

Phone

(254) 753-7200

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Richard Elton Scott Jr., D.O.

  • Physical Medicine & Rehabilitation Physician
  • Waco, TX
  • NPI 1972599157
  NPD (past) Authorized official
• Mark D Roberts, P.A.-C

  • Physician Assistant
  • Waco, TX
  • NPI 1497711105
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1245212745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22052",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767022052",
            "telephone_number": "254-753-7200",
            "fax_number": "254-753-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD.",
            "address_2": "SUITE 104",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-753-7200",
            "fax_number": "254-753-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO PM&R GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-753-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J8763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1136053-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250011083",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waco Orthopedic Clinic
• Waco Otolaryngology Associates (Waco Ear, Nose & Throat)
• Waco Partnership for Psychological and Spritual Care
• Waco Pathology Associates, P.a.
• Waco Pediatric Health Associates
• Waco Primary Care, P.a.
• Waco Prosthetics, Inc. (Innovative Prosthetics)
• Waco Psychological Associates
• Waco Radiology PA
• Waco Rheumatology PLLC

• Physical Medicine & Rehabilitation Physician in Waco, TX
• Providers in Waco, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.