Active NPI
Peter D Scholl, D.D.S.,M.D.
- Otolaryngology Physician
- Round Rock, TX
National Provider Identifier
1720059504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G0078
- Practice address
- 7200 Wyoming Springs Dr Ste 1400
Round Rock, TX 78681-4306 - Phone
- (512) 458-6391
- Fax
- (512) 580-0097
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G0078 | TX | Primary |
Addresses
Primary practice location
7200 Wyoming Springs Dr Ste 1400
Round Rock, TX 78681-4306
Mailing address
7200 Wyoming Springs Dr Ste 1400
Round Rock, TX 78681-4306
Phone (512) 458-6391
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4260748 | Other | TX | AETNA |
| G0078 | Other | TX | STATE LICENSE |
| 83C682 | Other | TX | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1720059504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 WYOMING SPRINGS DR STE 1400",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814306",
"telephone_number": "512-458-6391",
"fax_number": "512-580-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 WYOMING SPRINGS DR STE 1400",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814306",
"telephone_number": "512-458-6391",
"fax_number": "512-580-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLL",
"first_name": "PETER",
"middle_name": "D",
"credential": "D.D.S.,M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "G0078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4260748",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G0078",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83C682",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.