Scott Andrew Clingan, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003872 Issued in VA

Practice address

150 Burnetts Way Ste 100
Suffolk, VA 23434-8168

Phone

(757) 547-5145

Fax

(757) 539-7488

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carolinas Pain Institute, PA

  • Pain Medicine Physician
  • Winston Salem, NC
  • NPI 1376598268
  NPD (past)
• Carolinas Pain Institute, PA

  • Interventional Pain Medicine Physician
  • Asheboro, NC
  • NPI 1942547120
  NPD (past)
• Orthopaedic Specialists of the Carolinas, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Winston Salem, NC
  • NPI 1124070115
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1477501229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 GREENBRIER CIR",
            "address_2": "STE F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202643",
            "telephone_number": "757-842-7010",
            "fax_number": "757-312-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-547-5145",
            "fax_number": "757-539-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103652",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Clark, IDC
• Aura Clarke-Walker, OTR/L
• Janice Claude
• Abigail F Cleary, PT, DPT
• Bree Clemmons, M.ED, ATC, LAT
• Clinical Services, LLC
• CMJ Positive Change LLC
• CMM Enterprises LLC
• Coastal Care Transport LLC
• Amanda Cobb, M.S., SLP-CF

• Physician Assistant in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.