Organization Active NPI

James D Scott MD PC

  • Otolaryngology Physician
  • Roseburg, OR
National Provider Identifier
1598746307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD07736 Issued in OR
Legal business name
JAMES D SCOTT MD PC
Practice address
300 Independence LN
Roseburg, OR 97470-9540
Phone
(541) 673-3259
Fax
(541) 673-3259
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Dennis Scott, MDNPI 1619128246
Title
President Proffessional Corp
Phone
(541) 673-3259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD07736 OR Primary

Addresses

Primary practice location

300 Independence LN
Roseburg, OR 97470-9540

Mailing address

300 Independence LN
Roseburg, OR 97470-9540
Phone (541) 673-3259

Other identifiers 1

IdentifierTypeStateIssuer
177352MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598746307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INDEPENDENCE LN",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974709540",
            "telephone_number": "541-673-3259",
            "fax_number": "541-673-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INDEPENDENCE LN",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974709540",
            "telephone_number": "541-673-3259",
            "fax_number": "541-673-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D SCOTT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT PROFFESSIONAL CORP",
        "authorized_official_telephone_number": "541-673-3259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD07736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177352",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.