Scott Orthopedic Center

Primary specialty

Orthopedic Registered NurseTaxonomy code 163WX0800X

License

60256 Issued in WV

Legal business name

SCOTT ORTHOPEDIC CENTER

Practice address

2828 1St Ave
Suite 400
Huntington, WV 25702-1236

Phone

(304) 525-6905

Fax

(304) 525-4316

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

David A Proctor, MBA,MA

Title

Ceo

Phone

(304) 525-6905

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Scott Orthopedic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scott Orthopedic Center

  • Durable Medical Equipment & Medical Supplies
  • Huntington, WV
  • NPI 1285005405
  NPD tax ID

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1467820449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-525-6905",
            "fax_number": "304-525-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-525-6905",
            "fax_number": "304-525-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT ORTHOPEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-525-6905",
        "authorized_official_credential": "MBA,MA"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Orthopedic",
            "state": "WV",
            "license": "60256",
            "primary": true
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Orthopedic",
            "state": "OH",
            "license": "398466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352265",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010681000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Schwab
• Leslie Scites
• Rebecca Scites, FNP
• Cooper Michael Scoles, DO
• Scott Orthopedic Center
• Scott Orthopedic Center, Inc.
• Deyzhawnte Scott
• Iyawna Scott
• Jerry W Scott, MD
• John Scott, PA-C

• Registered Nurse in Huntington, WV
• Providers in Huntington, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.