Active NPI
Scott A Carlos, MD
- Family Medicine Physician
- Wheeling, WV
National Provider Identifier
1437140670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23792
- Practice address
- 40 Medical Park
Suite 401
Wheeling, WV 26003-6392 - Phone
- (304) 243-3880
- Fax
- (304) 243-3895
- NPI assigned
- Nov 4, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23792 | SC | Primary |
Addresses
Primary practice location
40 Medical Park
Suite 401
Wheeling, WV 26003-6392
Mailing address
40 Medical Park
Suite 401
Wheeling, WV 26003-6392
Phone (304) 243-3880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T79956 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080603000161 | WV | Practitioner - Family Practice | 9638249618 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23792 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital, Inc. | Past | Accepting new patients | |
| Medexpress Urgent Care PLLC-Morgantown | Past | Accepting new patients | |
| Medexpress Urgent Care, PC - Monaca | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Morgantown, WV
- NPI 1235138280
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1437140670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MEDICAL PARK",
"address_2": "SUITE 401",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036392",
"telephone_number": "304-243-3880",
"fax_number": "304-243-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MEDICAL PARK",
"address_2": "SUITE 401",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036392",
"telephone_number": "304-243-3880",
"fax_number": "304-243-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLOS",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "23792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T79956",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.