Individual provider Active NPI

Samuel Eugene Scott, DPM

  • Foot Surgery Podiatrist
  • Richlands, VA
National Provider Identifier
1639116643
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103300952 Issued in VA
Practice address
6719 Governor G. C. Peery Hwy
Suite 3800
Richlands, VA 24641-2197
Phone
(276) 596-9346
Fax
(276) 596-9348
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0103300952 VA Primary

Addresses

Primary practice location

6719 Governor G. C. Peery Hwy
Suite 3800
Richlands, VA 24641-2197

Mailing address

6719 Governor G. C. Peery Hwy
Suite 3800
Richlands, VA 24641-2197
Phone (276) 596-9346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000165 VA Practitioner - Podiatry 4688673122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy
Suite 3800
Richlands, VA 24641-0287
Phone (276) 596-9346

Hospital & facility affiliations

  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
  • Buchanan General Hospital Hospital, Grundy, VA, CCN 490127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of nail tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Family Podiatry, PLLC Foot Surgery CurrentSince Apr 1, 2007 Accepting new patients
Lenord S Horwitz Past Accepting new patients
Lenord S Horwitz Past Accepting new patients

Locations

6719 Governor Gc Peery Hwy
Ste 800
Richlands, VA 24641

6719 Governor Gc Peery Hwy
Ste 3800
Richlands, VA 24641
Phone (276) 596-9346

Interoperability endpoints

  • Direct secure messaging: samuel.scott@vab.hcadirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1639116643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR G. C. PEERY HWY",
            "address_2": "SUITE 3800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412197",
            "telephone_number": "276-596-9346",
            "fax_number": "276-596-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR G. C. PEERY HWY",
            "address_2": "SUITE 3800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412197",
            "telephone_number": "276-596-9346",
            "fax_number": "276-596-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SAMUEL",
        "middle_name": "EUGENE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103300952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.