Active NPI
John Scott
- Diagnostic Radiology Physician
- Greensboro, NC
National Provider Identifier
1508814591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0015580
- Practice address
- 1317 N Elm St
Suite 1B
Greensboro, NC 27401-1033 - Phone
- (336) 274-4285
- Fax
- (336) 268-9062
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0015580 | NC | Primary |
Addresses
Primary practice location
1317 N Elm St
Suite 1B
Greensboro, NC 27401-1033
Mailing address
PO Box 13005
Greensboro, NC 27415-3005
Phone (336) 274-4285
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75031 | Other | NC | BCBS |
| 8975031 | Medicaid | NC | |
| 73486 | Other | NC | MEDCOST |
| 1600066 | Other | NC | UNITED HEALTHCARE |
| 24730 | Other | NC | PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015580 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Radiology & Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Radiology & Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Radiology & Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Piedmont Area Radiology, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1548286461
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1952327934
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1992736326
-
- Diagnostic Radiology Physician
- Asheboro, NC
- NPI 1417964156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1508814591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13005",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274153005",
"telephone_number": "336-274-4285",
"fax_number": "336-268-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 N ELM ST",
"address_2": "SUITE 1B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011033",
"telephone_number": "336-274-4285",
"fax_number": "336-268-9062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "0015580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "75031",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8975031",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "73486",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600066",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "24730",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.