Scott Howard Isaacman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036064839 Issued in IL

Practice address

600 Caisson Hill Rd
Irwin Army Hospital, Ides Clinic
Fort Riley, KS 66442

Phone

(785) 240-7643

Fax

(785) 239-2705

NPI assigned

Mar 31, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1639130396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FARM BUREAU RD",
            "address_2": "#154",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023000",
            "telephone_number": "785-240-7643",
            "fax_number": "785-239-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL RD",
            "address_2": "IRWIN ARMY HOSPITAL, IDES CLINIC",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "66442",
            "telephone_number": "785-240-7643",
            "fax_number": "785-239-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACMAN",
        "first_name": "SCOTT",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036064839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin Army Community Hospital (Amh Farrelly Ahc-Ft. Riley)
• Irwin Army Community Hospital (Usadc Ft. Riley 2)
• Irwin Army Community Hospital (Custer Hill HC-Ft Riley)
• Irwin Army Community Hospital (Medical Inprocessing Center)
• Irwin Army Community Hospital (Usadc-Reception Station 7 Ft Riley)
• Nicholas Adam Isakson, CRNA
• Jacquelyn Denise Jackson, RN, BSN, MSN-PH, AN
• Scott Alan Jacobs, PA-C
• Arrel M James, L - PTA
• Grant Steven James, M. A. LCPC

• Family Medicine Physician in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.