Clifford Tyler Scott, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J0253 Issued in TX

Practice address

3150 Clarksville St
Suite 100
Paris, TX 75460-8076

Phone

(903) 782-9206

Fax

(903) 783-7367

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1043209919
  Medicare reassignment NPD
• Taos Health Systems Inc Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958
  Medicare reassignment NPD
• Taos Professional Services,LLC

  • Surgery Physician
  • Taos, NM
  • NPI 1891070777
  Medicare reassignment NPD
• Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1609298132
  NPD
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD
• Taos Professional Services, LLC

  • General Practice Physician
  • Taos, NM
  • NPI 1235597964
  NPD
• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  NPD (past)
• Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Paris, TX
  • NPI 1346791258
  NPD (past)
• Taos Health Systems Inc Holy Cross

  • Internal Medicine Physician
  • Taos, NM
  • NPI 1639310436
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1669485645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CLARKSVILLE ST",
            "address_2": "SUITE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608076",
            "telephone_number": "903-782-9206",
            "fax_number": "903-783-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CLARKSVILLE ST",
            "address_2": "SUITE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608076",
            "telephone_number": "903-782-9206",
            "fax_number": "903-783-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CLIFFORD",
        "middle_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J0253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136270910",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha A Scales, LVN
• Dennis W Schmidt, M.D.
• Susan E Scholz, CFNP
• Avery Schuller
• Annie Scott
• Sherry Larraine Scott, M.D.
• Wayne D Scott, DDS
• Senior Management Services of Paris Inc
• Sequoia Brown
• Khalid Shafiq, MD, FACC, FSCAI

• Pediatrics Physician in Paris, TX
• Providers in Paris, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.