Individual provider Active NPI

Phyllis B Scott, M.D.

  • Family Medicine Physician
  • Lawrenceville, PA
National Provider Identifier
1396758488
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD042692L Issued in PA
Practice address
32 E Lawrence Rd
Lawrenceville Laurel Health Center
Lawrenceville, PA 16929-8801
Phone
(570) 827-0125
Fax
(570) 827-0129
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD042692L PA Primary

Addresses

Primary practice location

32 E Lawrence Rd
Lawrenceville Laurel Health Center
Lawrenceville, PA 16929-8801

Mailing address

22 Walnut St
Laurel Health Center Administration
Wellsboro, PA 16901-1526
Phone (570) 723-0500

Other identifiers 1

IdentifierTypeStateIssuer
101859312MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101214000194 PA Practitioner - Family Practice 0648467860 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince May 3, 1993 Accepting new patients
North Penn Comprehensive Health Services Family Medicine Current Accepting new patients
North Penn Comprehensive Health Services CurrentSince May 3, 1993 Accepting new patients

Locations

6 Riverside Plz
Blossburg, PA 16912
Phone (570) 638-2174

103 Forestview Ave
Elkland, PA 16920
Phone (814) 258-5117

32 E Lawrence Rd
Lawrenceville, PA 16929
Phone (570) 827-0125

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

22 Walnut St
Wellsboro, PA 16901
Phone (570) 723-0621

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1396758488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WALNUT ST",
            "address_2": "LAUREL HEALTH CENTER ADMINISTRATION",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011526",
            "telephone_number": "570-723-0500",
            "fax_number": "570-724-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E LAWRENCE RD",
            "address_2": "LAWRENCEVILLE LAUREL HEALTH CENTER",
            "city": "LAWRENCEVILLE",
            "state": "PA",
            "postal_code": "169298801",
            "telephone_number": "570-827-0125",
            "fax_number": "570-827-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PHYLLIS",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042692L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101859312",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, PA

Sources for this page

Verify at the official NPI Registry.