Active NPI
Scott Travor, MD
- Pediatrics Physician
- Phila, PA
National Provider Identifier
1649210840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD062240
- Practice address
- 4510 Frankford Ave
Phila, PA 19124-3602 - Phone
- (215) 744-1302
- NPI assigned
- Jun 7, 2006
- Last updated
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD062240 | PA | Primary |
Addresses
Primary practice location
4510 Frankford Ave
Phila, PA 19124-3602
Mailing address
432 N 6TH St
Phila, PA 19123-4004
Phone (215) 925-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01673739 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD062240 | PA | MD | Pediatrics Physician |
Interoperability endpoints
- scott.travor@direct.einstein.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1649210840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 N 6TH ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191234004",
"telephone_number": "215-925-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 FRANKFORD AVE",
"city": "PHILA",
"state": "PA",
"postal_code": "191243602",
"telephone_number": "215-744-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVOR",
"first_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD062240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01673739",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.