Jeffrey a Scott MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36345 Issued in MO

Legal business name

JEFFREY A SCOTT MD LLC

Practice address

13010 White Ave
Suite a
Grandview, MO 64030-2667

Phone

(816) 765-3888

Fax

(816) 763-8306

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Manette Marie Palmer

Title

Office Manager

Phone

(816) 765-3888

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Allen Scott, MD

  • Family Medicine Physician
  • Belton, MO
  • NPI 1386645471
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1689632846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 WHITE AVE",
            "address_2": "SUITE A",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302667",
            "telephone_number": "816-765-3888",
            "fax_number": "816-763-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 WHITE AVE",
            "address_2": "SUITE A",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302667",
            "telephone_number": "816-765-3888",
            "fax_number": "816-763-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A SCOTT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MANETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-765-3888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507402600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40181011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Jackson, M.S. CF-SLP
• Jays Residential Isl
• Jays Residential LLC - Trevis House
• Jays Residential, LLC
• Jays Residential, LLC - Grandview II
• Lori Sherman Jeffries, FNP-C
• Job One Careers
• John a. Gillen II MD Orthopaedic Specialists P.a.
• Zachary Johns
• Aulois Zane Johnson, CCC, SLP

• Family Medicine Physician in Grandview, MO
• Providers in Grandview, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.