NPIMap

Organization Active NPI

Scott Orthopedic Center, Inc.

  • Orthopaedic Surgery Physician
  • Huntington, WV
National Provider Identifier
1699732214
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SCOTT ORTHOPEDIC CENTER, INC.
Practice address
2828 1St Ave
Suite 400
Huntington, WV 25702-1236
Phone
(304) 525-6905
Fax
(304) 525-4316
NPI assigned
Apr 27, 2006
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Luis BolanoNPI 1134186836
Title
MD
Phone
(304) 525-6905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Orthopaedic Hand Surgery Physician 207XS0106X
Foot & Ankle Surgery Podiatrist 213ES0103X
Prosthetic/Orthotic Supplier 335E00000X WV
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

2828 1St Ave
Suite 400
Huntington, WV 25702-1236

Mailing address

PO Box 4100
Barboursville, WV 25504-4100
Phone (304) 955-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address luis.bolano@soc.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070315000021 WV Part B Supplier - Clinic/Group Practice 1355315003 Receives reassigned benefits from 14 practitioners
Practice locations: Huntington, WV; Hurricane, WV

National Provider Directory

National Provider Directory

Locations

1408 Campbell Dr
#202
Ironton, OH 45638
Phone (304) 525-6905

2828 1st Ave
Huntington, WV 25702
Phone (304) 525-6905

Interoperability endpoints

  • Direct secure messaging: luis.bolano@soc.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1699732214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255044100",
            "telephone_number": "304-955-6200",
            "fax_number": "304-399-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "SUITE 400",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-525-6905",
            "fax_number": "304-525-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT ORTHOPEDIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BOLANO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "304-525-6905"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luis.bolano@soc.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2828 1st Ave",
            "address_2": "Suite 400",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.