Timothy J Scott DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004077L Issued in PA

Legal business name

TIMOTHY J SCOTT DPM PC

Practice address

22905 Route 68
Clarion, PA 16214-8557

Phone

(814) 226-0717

Fax

(814) 226-5336

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Scott, DPMNPI 1578539102

Title

Doctor

Phone

(814) 226-0717

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy J. Scott, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clarion, PA
  • NPI 1578539102
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1336176858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22905 ROUTE 68",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148557",
            "telephone_number": "814-226-0717",
            "fax_number": "814-226-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22905 ROUTE 68",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148557",
            "telephone_number": "814-226-0717",
            "fax_number": "814-226-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J SCOTT DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "814-226-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004077L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004077L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4748580001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00162263100008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016226310007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480027239",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "136177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Thompson, RPH
• Lauren Elaine Thompson, PT DPT
• James L Thornton, ATC
• Alice Louise Thurau, M.S., R.D.
• Rachel Lynn Tilley, LPC
• Kelly C Tobin, BS
• Transitional Care Center at Clarion Hospital
• Michael A Trillizio, MA, NCC, LPC
• Jean J Troese, BA
• Zofia Tynski, MD

• Podiatrist in Clarion, PA
• Providers in Clarion, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.