Individual provider Active NPI

Charles R Scott Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Conshohocken, PA
National Provider Identifier
1659310936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
203829 Issued in PA
Practice address
305 Overlook LN
Conshohocken, PA 19428-2645
Phone
(610) 940-0145
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 203829 PA Primary

Addresses

Primary practice location

305 Overlook LN
Conshohocken, PA 19428-2645

Mailing address

305 Overlook LN
Conshohocken, PA 19428-2645
Phone (610) 940-0145

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
203829PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
North Penn Anesthesiology Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Rittenhouse Anesthesia Associates, LTD. Past Accepting new patients
Philadelphia Health & Education Corporation Past Accepting new patients
Society Hill Anesthesia Consultants, PC Past Accepting new patients
Huntingdon Valley Anesthesia Associates Past Accepting new patients
Tri County Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
James F Noone MD PC Past Accepting new patients
Mercy Catholic Medical Center of Southeastern,PA Past Accepting new patients
Cooper Physician Offices, PA Past Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659310936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OVERLOOK LN",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282645",
            "telephone_number": "610-940-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OVERLOOK LN",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282645",
            "telephone_number": "610-940-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "203829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.