Scott Frank Mastores, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01042444A Issued in IN

Practice address

1501 Chester Blvd
Richmond, IN 47374-1914

Phone

(765) 935-1905

Fax

(765) 935-1910

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1609073055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-1905",
            "fax_number": "765-935-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741914",
            "telephone_number": "765-935-1905",
            "fax_number": "765-935-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTORES",
        "first_name": "SCOTT",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01042444A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - RPA",
            "identifier": "000000705640",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068959",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200873010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Marshall, LCSW
• Catherine A Marsteller, M.D.
• Brandi Martin, RBT
• Matthew Robert Martin, PA-C
• Gregory Marvel
• Courtney Denise Mathews, PT, DPT
• Dakotah Maupin, RBT
• Melissa Mayberry
• McClain Chiropractic, LLC
• Bethany McClain, RN

• Emergency Medicine Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.