Active NPI
Susan C Shults-Scarlett, MD
- Pediatrics Physician
- Silver Spring, MD
National Provider Identifier
1700105020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0038838
- Practice address
- 10801 Lockwood Dr Ste 2325
Silver Spring, MD 20901-1556 - Phone
- (301) 754-3050
- Fax
- (301) 618-0789
- NPI assigned
- May 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0038838 | MD | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | D0038838 | MD |
Addresses
Primary practice location
10801 Lockwood Dr Ste 2325
Silver Spring, MD 20901-1556
Mailing address
10801 Lockwood Dr Ste 230
Silver Spring, MD 20901-1559
Phone (301) 593-5566
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0038838 | MD | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1700105020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 LOCKWOOD DR STE 230",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011559",
"telephone_number": "301-593-5566",
"fax_number": "301-593-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 LOCKWOOD DR STE 2325",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011556",
"telephone_number": "301-754-3050",
"fax_number": "301-618-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTS-SCARLETT",
"first_name": "SUSAN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0038838",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MD",
"license": "D0038838",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.