Scott Hulderson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1039748 Issued in KY

Practice address

727 Hospital Dr
Shelbyville, KY 40065-1660

Phone

(502) 647-4347

NPI assigned

Jun 15, 2005

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

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Medicine Physicians Associates PC

  • Emergency Medicine Physician
  • Jeffersonville, IN
  • NPI 1942775879
  Medicare reassignment
• Central Kentucky Emergency Services P.S.C.

  • Emergency Medicine Physician
  • Shelbyville, KY
  • NPI 1497750194
  NPD (past)
• Elizabethtown Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Elizabethtown, KY
  • NPI 1528003316

  Physician Assistant

  NPD (past)
• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639174931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010008",
            "telephone_number": "800-476-8646",
            "fax_number": "919-382-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 HOSPITAL DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651660",
            "telephone_number": "502-647-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULDERSON",
        "first_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "1039748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor House, MSN, APRN, FNP-C
• Maria Elaine Houtz, OT
• Abbie Howell, ATC
• Ashton Hudson, MD
• Whitney Jane Huff
• Kacey Hulker
• Dana Jean Humphrey
• Kelly Hunter
• Natasha Waldenmayer Hurst, PA
• Toni Husband, COTA

• Physician Assistant in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Physician Assistant in Kentucky

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