Scott T. Anderson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA779 Issued in NV

Practice address

235 W 6TH St
Reno, NV 89503-4548

Phone

(775) 746-3202

Fax

(775) 746-1904

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ali Nairizi MD PC

  dba United Pain Urgent Care

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
  • NPI 1124617352
  NPD
• Northern Nevada Medical Group, LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1972751618
  NPD (past)
• Freeman Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1912000936
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629178454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21418",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895151418",
            "telephone_number": "775-746-3202",
            "fax_number": "775-746-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-746-3202",
            "fax_number": "775-746-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SCOTT",
        "middle_name": "T.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002416290",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parley Isaac Anderson, DPT
• Rebecca L Anderson, M.F.T.
• Rhea Anderson
• Ross Anderson
• Rupert Anderson
• Sharron Ashley Anderson, RT
• Sky Matthew Anderson
• Stephanie E Anderson
• Tonya D. Anderson, QMHA
• Trena Anderson

• Physician Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.