Active NPI
Joanne B Scott, PA
- Physician Assistant
- Canton, NY
National Provider Identifier
1659575694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000823-1
- Practice address
- 25 Park St
Canton, NY 13617-1265 - Phone
- (315) 379-9588
- Fax
- (315) 379-9604
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000823-1 | NY | Primary |
Addresses
Primary practice location
25 Park St
Canton, NY 13617-1265
Mailing address
PO Box 2337
Syracuse, NY 13220-2337
Phone (315) 422-2933
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000823 | NY | MD | Mental Health Counselor |
| 000823-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Lawrence Cardiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Potsdam, NY
- NPI 1124066295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1659575694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2337",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132202337",
"telephone_number": "315-422-2933",
"fax_number": "315-422-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PARK ST",
"city": "CANTON",
"state": "NY",
"postal_code": "136171265",
"telephone_number": "315-379-9588",
"fax_number": "315-379-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JOANNE",
"middle_name": "B",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "000823-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.