NPIMap

Individual provider Active NPI

Scott Steven-Flynn Foxworth, PA-C

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1255350708
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03742 Issued in TX
Practice address
2821 Michaelangelo Dr Ste 306
Edinburg, TX 78539-1418
Phone
(956) 362-2440
Fax
(956) 362-2448
NPI assigned
Jul 18, 2006
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05045 NC
Surgical Physician Assistant 363AS0400X PA001081 ME
Surgical Physician Assistant 363AS0400X PA03742 TX
Physician Assistant 363A00000X PA03742 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr Ste 306
Edinburg, TX 78539-1418

Mailing address

3801 N McColl Rd Apt 1317
McAllen, TX 78501-9151
Phone (936) 645-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041202000475 TX Practitioner - Physician Assistant 2466418363 Reassigns benefits to 7 organizations
I20141001000078 NC Practitioner - Physician Assistant 2466418363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03742TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Sep 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 12, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 12, 2022 Accepting new patients
Nacogdoches Neurosurgery, P.a. Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1255350708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N MCCOLL RD APT 1317",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019151",
            "telephone_number": "936-645-3602",
            "fax_number": "956-362-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 306",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391418",
            "telephone_number": "956-362-2440",
            "fax_number": "956-362-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTH",
        "first_name": "SCOTT",
        "middle_name": "STEVEN-FLYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05045",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA001081",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03742",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.