Individual provider Active NPI

Scott Eugen Elrod, M.D.

  • Psychiatry Physician
  • Missoula, MT
National Provider Identifier
1336155159
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6875 Issued in MT
Practice address
125 Bank St
Suite #310
Missoula, MT 59802-4407
Phone
(406) 549-7325
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6875 MT Primary

Addresses

Primary practice location

125 Bank St
Suite #310
Missoula, MT 59802-4407

Mailing address

125 Bank St
Suite #310
Missoula, MT 59802-4407
Phone (406) 549-7325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000309 MT Practitioner - Psychiatry 7618161811 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6875MTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott E Elrod MD PLLC Psychiatry CurrentSince Feb 1, 2012 Accepting new patients

Locations

125 Bank St
Ste 310
Missoula, MT 59802
Phone (406) 282-4402

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1336155159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BANK ST",
            "address_2": "SUITE #310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024407",
            "telephone_number": "406-549-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BANK ST",
            "address_2": "SUITE #310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024407",
            "telephone_number": "406-549-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELROD",
        "first_name": "SCOTT",
        "middle_name": "EUGEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "6875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.