Active NPI
Scott R Hollingsworth, DPM
- Podiatrist
- West Jordan, UT
National Provider Identifier
1255621280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5876265-0501
- Practice address
- 8822 S Redwood Rd
Suite C211
West Jordan, UT 84088-9336 - Phone
- (801) 563-1975
- NPI assigned
- Apr 11, 2011
- Last updated
- Oct 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5876265-0501 | UT | Primary |
Addresses
Primary practice location
8822 S Redwood Rd
Suite C211
West Jordan, UT 84088-9336
Mailing address
PO Box 1264
Riverton, UT 84065-1264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5876265-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Children's Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- West Jordan, UT
- NPI 1144345737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1255621280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1264",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840651264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8822 S REDWOOD RD",
"address_2": "SUITE C211",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889336",
"telephone_number": "801-563-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "SCOTT",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "5876265-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.