NPIMap

Individual provider Active NPI

Scott Stewart Carpenter, DO

  • Surgery Physician
  • Coleman, TX
National Provider Identifier
1326028036
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L9644 Issued in TX
Practice address
310 S Pecos St
Coleman, TX 76834-4159
Phone
(325) 625-2135
Fax
(325) 692-6030
NPI assigned
Jan 19, 2006
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L9644 TX Primary

Addresses

Primary practice location

310 S Pecos St
Coleman, TX 76834-4159

Mailing address

PO Box 4274
Abilene, TX 79608-4274
Phone (325) 675-6466

Other identifiers 1

IdentifierTypeStateIssuer
4626OtherOKOK LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000442 TX Practitioner - General Surgery 3476503202 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
College of Physicians and Surgeons (Iowa), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haskell County HospitalGroup PAC ID 1355440413, shared by 2 NPIs, 12 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

1 Ave N
Haskell, TX 79521-5415
Phone 9402284321305

1003 Columbia St
Stamford, TX 79553-6825
Phone (800) 862-3313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4626OKMDChiropractor
L9644TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospital Leasing Coleman Inc CurrentSince Dec 1, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Dec 28, 2021 Accepting new patients
Haskell County Hospital CurrentSince Aug 1, 2022 Accepting new patients
Preferred Hospital Leasing Coleman, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Haskell County Hospital CurrentSince Aug 1, 2022 Accepting new patients
Carpenter SNF Director Services, PLLC CurrentSince Jul 8, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 28, 2021 Accepting new patients
Frio Hospital District Past Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients
Mercy Health Network of the Southern Region Inc Past Accepting new patients

Locations

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

310 S Pecos St
Coleman, TX 76834
Phone (325) 625-2135

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

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

1003 Columbia St
Stamford, TX 79553
Phone (325) 773-3671

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAFBD/Endpoint/IGAFBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harmony Care at StamfordStamford, TX, CCN 675769 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1326028036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4274",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796084274",
            "telephone_number": "325-675-6466",
            "fax_number": "325-692-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PECOS ST",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768344159",
            "telephone_number": "325-625-2135",
            "fax_number": "325-692-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SCOTT",
        "middle_name": "STEWART",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L9644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK LICENSE",
            "identifier": "4626",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coleman, TX

Sources for this page

Verify at the official NPI Registry.