NPIMap

Individual provider Active NPI

Willard Wike Scamman II, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
National Provider Identifier
1497761035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
8192 Issued in NV
Practice address
4230 Burnham Ave
Las Vegas, NV 89119
Phone
(702) 733-7866
Fax
(702) 792-1319
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 8192 NV Primary

Addresses

Primary practice location

4230 Burnham Ave
Las Vegas, NV 89119

Mailing address

4230 Burnham Ave
Las Vegas, NV 89119
Phone (702) 733-7866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110928000603 NV Practitioner - Pathology 3072784784 Reassigns benefits to 1 organization
I20260221001037 WA Practitioner - Pathology 3072784784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Hoffman, MD, Associated Pathologists CharteredGroup PAC ID 8224921861, 14 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

Practice addresses (Care Compare)

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442

4230 Burnham Ave
Las Vegas, NV 89119-5408
Phone (702) 733-7866

904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8192NVMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC CurrentSince Feb 15, 2026 Accepting new patients
The Polyclinic PLLC CurrentSince Feb 15, 2026 Accepting new patients
Hoffman, MD, Associated Pathologists Chartered Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 1992 Accepting new patients
Optum Care Washington PLLC CurrentSince Feb 15, 2026 Accepting new patients
The Polyclinic PLLC CurrentSince Feb 15, 2026 Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

4230 Burnham Ave
Las Vegas, NV 89119
Phone (702) 733-7866

4230 Burnham Ave
Ste 250
Las Vegas, NV 89119
Phone (703) 802-7100

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1145 Broadway
Seattle, WA 98122

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Organizations & group practices 9

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497761035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 BURNHAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-733-7866",
            "fax_number": "702-733-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 BURNHAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-733-7866",
            "fax_number": "702-792-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAMMAN",
        "first_name": "WILLARD",
        "middle_name": "WIKE",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.