Individual provider Active NPI

Donald P Scott, PA

  • Physician Assistant
  • Irving, TX
National Provider Identifier
1609112374
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07998 Issued in TX
Practice address
2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2221
Phone
(972) 438-4636
Fax
(214) 260-0953
NPI assigned
Dec 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07998 TX Primary

Addresses

Primary practice location

2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2221

Mailing address

2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2221
Phone (972) 438-4636

Other identifiers 1

IdentifierTypeStateIssuer
PA07998OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130410000104 TX Practitioner - Physician Assistant 2769628122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Orthopedics and Sports MedicineGroup PAC ID 4183672652, 13 clinicians

Practice addresses (Care Compare)

2120 N Macarthur Blvd
Irving, TX 75061-2260
Phone 97243846361117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07998TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics & Sports Medicine CurrentSince Jan 12, 2013 Accepting new patients

Locations

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

245 W State Highway 114
Ste 300
Southlake, TX 76092
Phone (682) 477-4290

Interoperability endpoints

  • Direct secure messaging: donald.scott@iasm-tx.direct.office.nextgen.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1609112374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612221",
            "telephone_number": "972-438-4636",
            "fax_number": "214-260-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612221",
            "telephone_number": "972-438-4636",
            "fax_number": "214-260-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DONALD",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA07998",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.