David Scoville, PH.D.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Fairway, KS
NPI 1477819217 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1477819217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- A126842 (CA)
- Practice address
- 5328 Canterbury Rd
Fairway, KS 66205-2611 - Phone
- (913) 832-5289
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Saint Thomas Medical Partners
Practice addresses (Care Compare)
300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400
4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977
4230 Harding Pike
Suite 530
Nashville, TN 37205-2094
Phone (615) 297-6006
4230 Harding Pike
Suite 535
Nashville, TN 37205-2013
Phone (615) 222-1251
4230 Harding Rd
Suite 202
Nashville, TN 37205-2098
Phone (615) 354-5930
Hospital & facility affiliations
- Ascension Saint Thomas Hospital
- Saint Thomas Rutherford Hospital
- Saint Thomas River Park Hospital
- Williamson Medical Center
- Highpoint Health-Sumner With Ascension Saint Thoma
- Decatur County Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 101 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181012001054 | CA | Practitioner - Thoracic Surgery | 2567714942 | Reassigns benefits to 1 organization |
| I20240523003082 | TN | Practitioner - Thoracic Surgery | 2567714942 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126842 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
700 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 851-5300
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
300 20th Ave N
Fl 9
Nashville, TN 37203
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
Interoperability endpoints
- david.scoville.1@7654.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A126842 | CA | Yes |
Addresses
Primary practice location
5328 Canterbury Rd
Fairway, KS 66205-2611
Mailing address
5328 Canterbury Rd
Fairway, KS 66205-2611
Phone (913) 832-5289
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Fairway, KS
- Angela Sue Pedrotti
- Joseph J Pleen
- Jessica Price
- Walter Francisco Ricci
- Paul Saskin
- Sih Mokan, P.a.
- Smile, It'S Healthy L.L.C.
- Jonalan Duane Smith
- Carrie Dianne Spresser
- Russell H. Swerdlow
All providers in Fairway, KS · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.