Individual provider Active NPI

Douglas N Scott, LSA

  • Surgical Assistant
  • Seabrook, TX
National Provider Identifier
1629365317
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00576 Issued in TX
Practice address
2033 Lakeside LNDG
Seabrook, TX 77586-8302
Phone
(832) 267-2830
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 123054 TX
Surgical Physician Assistant 363AS0400X
Surgical Assistant 246ZC0007X SA00576 TX Primary

Addresses

Primary practice location

2033 Lakeside LNDG
Seabrook, TX 77586-8302

Mailing address

1 Sugar Creek Center Blvd
Ste 618
Sugar Land, TX 77478-3560
Phone (832) 655-4141

Other identifiers 5

IdentifierTypeStateIssuer
8TC360OtherTXUNIVERSAL SURGICAL ASSISTANTS
8TY712OtherTXXCITE SURGICAL
8UB510OtherTXBLUE STAR SURGICAL
8UC324OtherTXUNIVERSAL SURGICAL PARTNERS
8TY713OtherTXUS MSO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123054TXMDOccupational Therapist
SA00576TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
D Scott Surgical Assist Surgical CurrentSince Apr 17, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dscott468846@direct.stlukeshealth.org

Organizations & group practices 1

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1629365317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD",
            "address_2": "STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783560",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 LAKESIDE LNDG",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775868302",
            "telephone_number": "832-267-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DOUGLAS",
        "middle_name": "N",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "123054",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL SURGICAL ASSISTANTS",
            "identifier": "8TC360",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XCITE SURGICAL",
            "identifier": "8TY712",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE STAR SURGICAL",
            "identifier": "8UB510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL SURGICAL PARTNERS",
            "identifier": "8UC324",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US MSO",
            "identifier": "8TY713",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seabrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.