Individual provider Active NPI

Scott Michael Doran, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1245486794
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10971 Issued in TX
Practice address
1000 E 41St St Ste 925
Austin, TX 78751-4856
Phone
(512) 978-9940
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10971 TX Primary

Addresses

Primary practice location

1000 E 41St St Ste 925
Austin, TX 78751-4856

Mailing address

1000 E 41St St Ste 925
Austin, TX 78751-4856
Phone (512) 978-9940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215000040 TX Practitioner - Physician Assistant 7911054812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians

Practice addresses (Care Compare)

4810 Gattis School Rd
Suite 100
Hutto, TX 78634-2037
Phone (512) 312-7230

5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980

517 S Lamar Blvd
Suite B
Austin, TX 78704-1549
Phone (512) 861-8055

7212 Burnet Rd
Austin, TX 78757-2253
Phone (512) 867-6299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012650NYMDClinical Psychologist
PA1377MEMDSpeech-Language Pathologist
PA10971TXMDPhysician Assistant

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1245486794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 41ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514856",
            "telephone_number": "512-978-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 41ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514856",
            "telephone_number": "512-978-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.