Individual provider Active NPI

Deborah JL Scott, MD

  • Internal Medicine Physician
  • Wolfeboro, NH
National Provider Identifier
1497741631
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042-0008564 Issued in VT
Practice address
240 S Main St
Wolfeboro, NH 03894-4411
Phone
(603) 515-2093
Fax
(603) 515-2031
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0008564 VT Primary
Internal Medicine Physician 207R00000X 8764 NH

Addresses

Primary practice location

240 S Main St
Wolfeboro, NH 03894-4411

Mailing address

74 Pleasant Street
Ste 204
New London, NH 03257
Phone (603) 526-4635

Other identifiers 2

IdentifierTypeStateIssuer
3079917MedicaidNH
8000419MedicaidVT

Other names 1

  • Deborah Jo Long Scott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, GU, TX, VI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20051109000629 NH Practitioner - Internal Medicine 0143256602 Reassigns benefits to 4 organizations
I20150929003520 GU Practitioner - Internal Medicine 0143256602 Reassigns benefits to 1 organization
I20160408000333 TX Practitioner - Internal Medicine 0143256602 Reassigns benefits to 1 organization
I20210603002346 VI Practitioner - Internal Medicine 0143256602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0008564VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Feb 28, 2016 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince May 30, 2021 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 16, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 16, 2015 Accepting new patients
The New London Hospital Association, Inc. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Hospitalist Physicians of New Hampshire PC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Alice Peck Day Memorial Hospital Internal Medicine Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince May 30, 2021 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients
Alice Peck Day Memorial Hospital Past Accepting new patients

Locations

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

273 County Rd
New London, NH 03257
Phone (603) 526-5215

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: dscott390128@direct.dartmouth-hitchcock.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1497741631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PLEASANT STREET",
            "address_2": "STE 204",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "03257",
            "telephone_number": "603-526-4635",
            "fax_number": "603-526-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-515-2093",
            "fax_number": "603-515-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DEBORAH",
        "middle_name": "JL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0008564",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "8764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079917",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000419",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SCOTT",
            "middle_name": "JO LONG",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.