Katherine Jane Scoville, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

H0092676 Issued in MD

Practice address

10325 Lloyd Rd
Potomac, MD 20854-1950

Phone

(914) 358-9559

Fax

(914) 358-9560

NPI assigned

Oct 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: katherinescoville@kjsdp-ny.direct.office.nextgen.com

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1609176452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 LLOYD RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541950",
            "telephone_number": "301-304-3330",
            "fax_number": "301-304-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 LLOYD RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541950",
            "telephone_number": "914-358-9559",
            "fax_number": "914-358-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "KATHERINE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "258780",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MD",
            "license": "H0092676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Schulman, M.D.
• Faith Witkin Schwartz, PHD
• Kevin Louis-Fisher Schwarz, LCSW-C
• Benita Scott
• Scoville Osteopathic Healthcare, P.C.
• Second Chance Addiction Care
• Vida Semsarzadeh, RD
• Seren Incorporated
• Serenity Gardens Assisted Living LLC
• Serenity Psychotherapy Group, LLC

• Neuromusculoskeletal Medicine & OMM Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.