Scott S Prince DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007533L Issued in PA

Legal business name

SCOTT S PRINCE DO LLC

Practice address

101 W End Rd
Hanover TWP, PA 18706-5448

Phone

(570) 822-8875

Fax

(570) 822-8873

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Scott Prince, D.O.

Title

Owner

Phone

(570) 822-8875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1679919013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W END RD",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065448",
            "telephone_number": "570-822-8875",
            "fax_number": "570-822-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W END RD",
            "city": "HANOVER TWP",
            "state": "PA",
            "postal_code": "187065448",
            "telephone_number": "570-822-8875",
            "fax_number": "570-822-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT S PRINCE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-822-8875",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007533L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.