Individual provider Active NPI

Scott Michael Hibbard, PAC

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1255358024
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02344 Issued in TX
Practice address
301 W Expressway 83
McAllen, TX 78503-3045
Phone
(956) 632-4100
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60380201 WA
Physician Assistant 363A00000X PA02344 TX Primary

Addresses

Primary practice location

301 W Expressway 83
McAllen, TX 78503-3045

Mailing address

1423 Tulip Ave
McAllen, TX 78504-3619
Phone (956) 821-2367

Other identifiers 1

IdentifierTypeStateIssuer
PA02344OtherTXPHYSICIAN ASSISTANTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130916000598 WA Practitioner - Physician Assistant 9335205749 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA02344TXMDPhysician Assistant
60380201WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Emergency Physicians PLLC CurrentSince Aug 1, 2013 Accepting new patients
Eastside Emergency Physicians, PLLC CurrentSince Aug 1, 2013 Accepting new patients
Cep America LLC CurrentSince Aug 22, 2024 Accepting new patients
Swedish Health Services CurrentSince Apr 18, 2024 Accepting new patients
Cep America LLC CurrentSince Aug 22, 2024 Accepting new patients
Front Range Emergency Specialists, PC Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1255358024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 TULIP AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043619",
            "telephone_number": "956-821-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W EXPRESSWAY 83",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785033045",
            "telephone_number": "956-632-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60380201",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANTS",
            "identifier": "PA02344",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.