Scott David Willard, M.D.

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

License

53868 Issued in AZ

Practice address

325 Route 70 E
Cherry Hill, NJ 08034

Phone

(856) 309-8508

Fax

(856) 309-8556

NPI assigned

May 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

HospitalistAlso: Diagnostic Radiology

Education

University of Arizona College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Children'S HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Children'S Hospital Hospital, Phoenix, AZ, CCN 033302

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.

• Phoenix Children'S Hospital

  dba Phoenix Children's Medical Group

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment Care Compare group NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1679703441
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Phoenix Children'S Hospital

  • Children's Hospital
  • Phoenix, AZ
  • NPI 1760480503
  Care Compare affiliation

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497047096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-309-8508",
            "fax_number": "856-309-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167710",
            "country_code": "US",
            "telephone_number": "602-933-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14785 Old Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582496",
            "country_code": "US",
            "telephone_number": "904-697-3600",
            "fax_number": "904-697-3792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Almonesson Rd",
            "address_purpose": "LOCATION",
            "city": "Deptford",
            "state": "NJ",
            "postal_code": "080965502",
            "country_code": "US",
            "telephone_number": "856-345-1401",
            "fax_number": "856-805-9370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078426",
            "country_code": "US",
            "telephone_number": "904-697-3600",
            "fax_number": "904-697-3927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Applied Bank Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193423501",
            "country_code": "US",
            "telephone_number": "484-800-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Old Lancaster Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103239",
            "country_code": "US",
            "telephone_number": "610-542-3300",
            "fax_number": "610-542-3320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1747 Baptist Clay Dr",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320038502",
            "country_code": "US",
            "telephone_number": "904-697-3088",
            "fax_number": "904-697-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "DE",
            "license": "C1-0012759",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP10040578",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "AZ",
            "license": "53868",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NJ",
            "license": "25MA10383700",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PA",
            "license": "MD464892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588799",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie L Wigton, PT
• Laurie T Wikoff, PT
• Brent Wilder
• Rachel Elizabeth Wilke, NP
• Ashley Willis Willard
• Rene' M Willems, MSPT
• William E. Johnston, MDPC
• Andrea J Williams, OTR/L
• Cheryl Williams
• Karlyn Williams

• Pediatric Radiology Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Pediatric Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.