Dr Scott T Schell MD PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

29035 Issued in NC

Legal business name

DR SCOTT T SCHELL MD PA

Practice address

2545 Ravenhill Dr Ste 105
Fayetteville, NC 28303-5460

Phone

(910) 433-4446

Fax

(910) 433-4475

NPI assigned

Jul 2, 2012

Last updated

Jun 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Schell

Title

Office Manager

Phone

(910) 433-4446

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1508120825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W NEW HAMPSHIRE AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874826",
            "telephone_number": "910-692-4759",
            "fax_number": "910-433-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 RAVENHILL DR STE 105",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035460",
            "telephone_number": "910-433-4446",
            "fax_number": "910-433-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SCOTT T SCHELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SCHELL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-433-4446"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "29035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7974588",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74855",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.