Individual provider Active NPI

Scott Lettow, CST, CFA

  • Surgical Technologist
  • Evanston, IL
National Provider Identifier
1518270875
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
238.000259 Issued in IL
Practice address
9222 Ewing Ave Unit 302
Evanston, IL 60203-1717
Phone
(773) 405-1727
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 238.000259 IL Primary

Addresses

Primary practice location

9222 Ewing Ave Unit 302
Evanston, IL 60203-1717

Mailing address

9222 Ewing #302
Evanstion, IL 60203
Phone (773) 405-1727

Other names 1

  • Mr. Scott Alan Lettow Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
238.000259ILMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1518270875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 EWING #302",
            "city": "EVANSTION",
            "state": "IL",
            "postal_code": "60203",
            "telephone_number": "773-405-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 EWING AVE UNIT 302",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031717",
            "telephone_number": "773-405-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTOW",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "CST, CFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "238.000259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "LETTOW",
            "middle_name": "ALAN",
            "prefix": "MR.",
            "credential": "SCOTT LETTOW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.