Individual provider Active NPI

Scott J Taylor, PA-C

  • Physician Assistant
  • Mercer Island, WA
National Provider Identifier
1295062057
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60122099 Issued in WA
Practice address
8435 SE 68TH St Ste 118
Mercer Island, WA 98040-5249
Phone
(206) 232-7546
NPI assigned
Nov 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 PA60122099 WA Primary

Addresses

Primary practice location

8435 SE 68TH St Ste 118
Mercer Island, WA 98040-5249

Mailing address

1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385

Other practice location 1

700 S 320th St Ste A
Federal Way, WA 98003-4691
Phone (866) 599-3376

Other identifiers 1

IdentifierTypeStateIssuer
1134375421OtherWAGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@silverfallsderm.net Health Information Exchange (HIE)

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
I20100111000403 WA Practitioner - Physician Assistant 6204977416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

11011 Meridian Ave N
Seattle, WA 98133-8967
Phone (206) 859-5777

1515 116TH Ave NE
Suite 307
Bellevue, WA 98004-3811
Phone (425) 999-2628

21701 76TH Ave W
Edmonds, WA 98026-7536
Phone (206) 525-1168

21727 76TH Ave W
Edmonds, WA 98026-7549

3825 Martin Way E
Suite 104
Olympia, WA 98506-5278
Phone (866) 599-3376

4407 Fairmont Ave
Port Angeles, WA 98363-9514
Phone (503) 362-8385

5350 Tallman Ave NW
Suite 510
Seattle, WA 98107-5910
Phone (206) 531-3114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Physician Assistant CurrentSince Apr 1, 2020 Accepting new patients
Aesthetic & General Dermatology of Seattle CurrentSince Oct 1, 2019 Accepting new patients

Locations

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

3110 Commercial Ave
Ste 105
Anacortes, WA 98221
Phone (360) 336-3026

16410 Smokey Point Blvd
Ste 300
Arlington, WA 98223

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

13610 1st Ave S
Burien, WA 98168
Phone (206) 248-5020

5 NE 4th St
Ste B
Coupeville, WA 98239
Phone (360) 336-3026

21727 76th Ave W
Ste F
Edmonds, WA 98026
Phone (425) 778-7546

21701 76th Ave W
Ste 100
Edmonds, WA 98026
Phone (206) 525-1168

21727 76th Ave W
Ste H
Edmonds, WA 98026
Phone (425) 672-1333

21701 76th Ave W
Ste 302
Edmonds, WA 98026
Phone (425) 502-5427

33915 1st Way S
Ste 130
Federal Way, WA 98003
Phone (253) 528-9135

700 S 320th St
Ste A
Federal Way, WA 98003
Phone (253) 246-2435

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

8435 SE 68th St
Ste 118
Mercer Island, WA 98040
Phone (206) 232-7546

1600 Continental Pl
Ste 101
Mount Vernon, WA 98273
Phone (360) 336-3026

3825 Martin Way E
Ste 104
Olympia, WA 98506
Phone (971) 915-8579

11011 Meridian Ave N
Ste 102
Seattle, WA 98133
Phone (206) 859-5777

5350 Tallman Ave NW
Ste 510
Seattle, WA 98107
Phone (206) 470-1850

3216 NE 45th Pl
Ste 203
Seattle, WA 98105
Phone (206) 525-1168

Interoperability endpoints

  • Direct secure messaging: scotttaylor@frontierdermpartners.emadirect.md

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1295062057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 SE 68TH ST STE 118",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405249",
            "telephone_number": "206-232-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S 320th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980034691",
            "country_code": "US",
            "telephone_number": "866-599-3376",
            "fax_number": "503-362-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-14",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60122099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1134375421",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@silverfallsderm.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 S 320th St Ste A",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980034691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.