Scott Richard King, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

37046 Issued in IA

Practice address

300 Pershing Avenue
Shenandoah, IA 51601

Phone

(712) 246-7405

Fax

(712) 246-7036

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shenandoah Medical Center

  • Certified Registered Nurse Anesthetist
  • Shenandoah, IA
  • NPI 1497810972
  Medicare reassignment NPD
• Shenandoah Medical Center

  • Community/Retail Pharmacy
  • Shenandoah, IA
  • NPI 1447937230
  NPD
• Shenandoah Medical Center

  • Surgery Physician
  • Shenandoah, IA
  • NPI 1952466419

  Obstetrics & Gynecology

  NPD
• Joanne Kingsley MD PLLC

  • Gynecology Physician
  • Jackson, MI
  • NPI 1427136472
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487766309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVENUE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "51601",
            "telephone_number": "712-246-7405",
            "fax_number": "712-246-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVENUE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "51601",
            "telephone_number": "712-246-7405",
            "fax_number": "712-246-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "37046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Mikael Isaacson, M.D.
• J & R Furniture and Carpet
• J P Outhier P C
• Renee M. Johnson, N.P.
• Holly Lynn Jorgensen, FNP, ARNP
• Emily Kleier, DDS
• Kelly Lynn Kline, FNP-C
• Logan J Kopf, CRNA
• Angela Sue Ledford, D.C
• Darci Lewis, PHARM.D, RPH

• Obstetrics & Gynecology Physician in Shenandoah, IA
• Providers in Shenandoah, IA by specialty
• Obstetrics & Gynecology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.