Scott Edward Anderson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09905 Issued in TX

Practice address

111 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3003

Phone

(713) 714-1399

NPI assigned

Feb 13, 2007

Last updated

Nov 20, 2025By the provider in NPPES

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Procura Pain and Spine, PLLCGroup PAC ID 8729221197, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Procura Pain and Spine, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Shenandoah, TX
  • NPI 1245663848
  Medicare reassignment Care Compare group
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment NPD
• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423

  TX

  Medicare reassignment NPD
• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment
• Edward Baumgartner Jr MD LLC

  dba Texas Interventional Pain Specialists

  • Pain Medicine Physician
  • Houston, TX
  • NPI 1215418678
  Medicare reassignment
• Procura Pain and Spine, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Kingwood, TX
  • NPI 1023971249
  NPD
• Southlake Doctors Express, PA PSC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1497897748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15726 HERMITAGE OAKS DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778632",
            "telephone_number": "832-702-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843003",
            "telephone_number": "713-714-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24018 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773391536",
            "country_code": "US",
            "telephone_number": "281-446-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Oncology Partners, P.a. (Woodlands Cancer Institute)
• American Oncology Partners, P.a. (Woodlands Cancer Institute)
• Aryanna Katryne Amini, M.D., M.S.
• Sujatha Anand, M.D.
• Megan Yvonne Anderson, BSM, LMW, CPM
• Ankur D Mehta DO
• Amit Annamaneni, MD
• Mohammed Zafer Ansari, M.D.
• Chinasa Paul Anugwom, MD
• Deborah Anugwom, NP

• Physician Assistant in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.