Active NPI
Scott R Price, DPM
- Podiatrist
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0564
- Practice address
- 3149 N Windsong Dr
Prescott Valley, AZ 86314-2240 - Phone
- (928) 772-5916
- Fax
- (928) 775-3250
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0564 | AZ | Primary |
Addresses
Primary practice location
3149 N Windsong Dr
Prescott Valley, AZ 86314-2240
Mailing address
3149 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 710-5014
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-2210138 | Other | AZ | AETNA |
| AZ0195490 | Other | AZ | BLUE CROSS BLUE SHIELD |
| P00198294 | Other | AZ | RAIL ROAD MEDICARE |
| 35-2210138 | Other | AZ | AZ FOUNDATION |
| DC9191 | Other | AZ | RAIL RD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3149 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 772-5916
Hospital & facility affiliations
- Yavapai Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 122 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1443 |
| Removal or shaving of skin growth | 1139 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0564 | AZ | MD | Physical Therapist |
| 564 | AZ | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Foot and Ankle, L.L.C. | Podiatrist | Current | Accepting new patients |
| Tri City Surgery Center LLC | Past | Accepting new patients | |
| Prescott Foot & Ankle Clinic PC | Past | Accepting new patients |
Locations
919 12th Pl
Ste 10
Prescott, AZ 86305
Phone (928) 445-4898
3149 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 445-6083
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.
-
- Podiatrist
- Prescott Valley, AZ
- NPI 1275630451
-
- Foot & Ankle Surgery Podiatrist
- Prescott, AZ
- NPI 1407925738
-
- Ambulatory Surgical Clinic/Center
- Prescott, AZ
- NPI 1437101433
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1417067455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3149 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142240",
"telephone_number": "928-710-5014",
"fax_number": "928-775-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3149 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142240",
"telephone_number": "928-772-5916",
"fax_number": "928-775-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "SCOTT",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "35-2210138",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0195490",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00198294",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ FOUNDATION",
"identifier": "35-2210138",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL RD MEDICARE",
"identifier": "DC9191",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.