Active NPI
John Robert Scranton, DO
- Emergency Medicine Physician
- Bay Shore, NY
National Provider Identifier
1649341124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 176902
- Practice address
- 301 East Main St.
Southside Hospital-Dept. of Emergency Medicine
Bay Shore, NY 11706 - Phone
- (631) 968-3314
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 176902 | NY | Primary |
Addresses
Primary practice location
301 East Main St.
Southside Hospital-Dept. of Emergency Medicine
Bay Shore, NY 11706
Mailing address
301 East Main St.
Southside Hospital-Dept. of Emergency Medicine
Bay Shore, NY 11706
Phone (631) 968-3314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02682864 | Medicaid | NY |
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 Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Hampton Urgent Care PLLC | Past | Accepting new patients | |
| St Catherine of Siena Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- East Hampton, NY
- NPI 1538322920
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1245318609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1649341124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 EAST MAIN ST.",
"address_2": "SOUTHSIDE HOSPITAL-DEPT. OF EMERGENCY MEDICINE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-968-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 EAST MAIN ST.",
"address_2": "SOUTHSIDE HOSPITAL-DEPT. OF EMERGENCY MEDICINE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-968-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRANTON",
"first_name": "JOHN",
"middle_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "176902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02682864",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.