Individual provider Active NPI

Joseph Scamardo, M.D.

  • Neurology Physician
  • Nacogdoches, TX
National Provider Identifier
1639285489
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H8379 Issued in TX
Practice address
4848 NE Stallings Dr
Ste 103
Nacogdoches, TX 75965-1239
Phone
(936) 205-5801
Fax
(936) 205-5915
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H8379 TX
Neurology Physician 2084N0400X H8379 TX Primary

Addresses

Primary practice location

4848 NE Stallings Dr
Ste 103
Nacogdoches, TX 75965-1239

Mailing address

4848 NE Stallings Dr
Ste 103
Nacogdoches, TX 75965-1239
Phone (936) 205-5801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000138 TX Practitioner - Neurology 2668413592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Texas Tech University Health Science Center School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

4848 NE Stallings Dr
Nacogdoches, TX 75965-1208
Phone (936) 205-5801

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H8379TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676

4848 NE Stallings Dr
Ste 103
Nacogdoches, TX 75965
Phone (936) 205-5801

623 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 305-5277

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: joseph.scamardo.1@1438.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1639285489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "STE 103",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-205-5801",
            "fax_number": "936-205-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "STE 103",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-205-5801",
            "fax_number": "936-205-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAMARDO",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H8379",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H8379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.