Active NPI
Scott Marshall Gilmore, MD
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M-17036
- Practice address
- 6051 W Emerald St
Boise, ID 83704-8969 - Phone
- (208) 302-5150
- Fax
- (208) 302-5155
- NPI assigned
- Apr 14, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | S2313 | TX | |
| Emergency Medicine Physician | 207P00000X | A169082 | CA | |
| Emergency Medicine Physician | 207P00000X | M-17036 | ID | Primary |
Addresses
Primary practice location
6051 W Emerald St
Boise, ID 83704-8969
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wake Forest University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Luke'S Nampa Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169082 | CA | MD | Emergency Medicine Physician |
| M-17036 | ID | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lechee Health Facility | Family Medicine | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Texas Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Western Sierra Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current | Accepting new patients |
| Jackson County Hospital District | Emergency Medicine | Current | Accepting new patients |
| Sierra ER Department Physicians Medical Group Inc. | Emergency Medicine | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Emergency Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Emergency Medicine | Current | Accepting new patients |
| Elite Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Family Medicine | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Jackson County Hospital District | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients |
Locations (25 of 28)
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244
335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
6051 W Emerald St
Boise, ID 83704
Phone (208) 302-5100
910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
9645 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 256-1456
21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500
26271 Northwest Fwy
Cypress, TX 77429
Phone (281) 949-1500
1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800
540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288
1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500
5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600
Interoperability endpoints
- sgilmore246653@direct.phs.org
- smmsmgilm@yourcarecommunity.org
- sgilmore3093847@direct.trinity-health.org
Organizations & group practices 24
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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
Emergency Medicine
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Internal Medicine Physician
- Lake Arrowhead, CA
- NPI 1639598758
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Emergency Medicine Physician
- Pasadena, TX
- NPI 1801458708
-
- Emergency Medicine Physician
- Edna, TX
- NPI 1215971478
-
- Internal Medicine Physician
- Ontario, OR
- NPI 1093034159
ID
-
- Emergency Medicine Physician
- Susanville, CA
- NPI 1033570247
-
- Emergency Medicine Physician
- Cuero, TX
- NPI 1699288811
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Emergency Medicine, TX
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1457705642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048969",
"telephone_number": "208-302-5150",
"fax_number": "208-302-5155"
}
],
"practiceLocations": [
{
"address_1": "4755 Ogletown Stanton Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-1042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILMORE",
"first_name": "SCOTT",
"middle_name": "MARSHALL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-14",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "S2313",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A169082",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-17036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.