Thomas Henry Scott Jr., MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0130000125 Issued in VA

Practice address

2616 E Lake Dr
Virginia Beach, VA 23454-1836

Phone

(757) 460-9200

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1528056249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 E LAKE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541836",
            "telephone_number": "757-481-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 E LAKE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541836",
            "telephone_number": "757-460-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101030239",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0130000125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006076432",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole S Scott
• Radiance Scott
• Roneka Latifa Scott
• Stephanie L Scott, NP
• Tenesha Scott
• Tiffany A Scott
• Tracey Rasey Scott
• Scott'S Ancillary Services, Inc.
• Alexandria Lee Scrofne
• Julia Scronce

• Pulmonary Disease Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.