Individual provider Active NPI

John Scott, DO

  • Family Medicine Physician
  • Storm Lake, IA
National Provider Identifier
1386129021
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-06986 Issued in IA
Practice address
715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone
(712) 213-0109
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO0000005186 TN
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X DO-06986 IA Primary

Addresses

Primary practice location

715 W Milwaukee Ave
Storm Lake, IA 50588-1564

Mailing address

715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone (712) 213-0109

Other practice location 1

7501 Riverside Pkwy
Tulsa, OK 74136-5056
Phone (918) 710-4210

Other practice location 2

Pacific Northwest University of Health Sciences
111 University Parkway, Suite 202
Yakima, WA 98901
Phone (907) 244-7688

Other practice location 3

2595 Central Ave
Memphis, TN 38104-5905
Phone (901) 842-3160

Other identifiers 2

IdentifierTypeStateIssuer
9305616OtherAAFP
197463OtherABFM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230608001327 TN Practitioner - Family Practice 0143616904
I20251124004177 IA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 0143616904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Community Health Center IncGroup PAC ID 1456362615, 8 clinicians

Practice addresses (Care Compare)

715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone 71221301091106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7332OKMDGeneral Practice Dentistry
DO-06986IAMDFamily Medicine Physician
DO0000005186TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Health Center Inc. CurrentSince Aug 17, 2025 Accepting new patients

Locations

715 W Milwaukee Ave
Storm Lake, IA 50588
Phone (712) 213-0109

Interoperability endpoints

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

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.

Hospital & facility affiliations 1

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1386129021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-213-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-213-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741365056",
            "country_code": "US",
            "telephone_number": "918-710-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Pacific Northwest University of Health Sciences",
            "address_2": "111 University Parkway, Suite 202",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "98901",
            "country_code": "US",
            "telephone_number": "907-244-7688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2595 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381045905",
            "country_code": "US",
            "telephone_number": "901-842-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000005186",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-06986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAFP",
            "identifier": "9305616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABFM",
            "identifier": "197463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.