Individual provider Active NPI

Scott Richard McClain, PA-C

  • Physician Assistant
  • Langhorne, PA
National Provider Identifier
1740214121
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA000930 Issued in PA
Practice address
582 Middletown Blvd. Ste B22
Langhorne, PA 19047
Phone
(267) 201-8162
NPI assigned
Jul 10, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA000930 PA Primary
Physician Assistant 363A00000X MP12730 NJ
Medical Physician Assistant 363AM0700X MA051565 PA

Addresses

Primary practice location

582 Middletown Blvd. Ste B22
Langhorne, PA 19047

Mailing address

582 Middletown Blvd. Ste. B22
Langhorne, PA 19047
Phone (267) 201-8162

Other identifiers 1

IdentifierTypeStateIssuer
103191400-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020782NYMDSpeech-Language Pathologist
MP12730NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Emergency Physicians LLC CurrentSince Dec 24, 2012 Accepting new patients
Wecare Mobile Medical, LLC CurrentSince Jan 1, 2022 Accepting new patients
HRT PA PC CurrentSince Nov 17, 2024 Accepting new patients
Phoenixville Emergency Care Specialists, LLC Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Colonial Emergency Physicians Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
Atlantic Professional Services of New Jersey, P.a. Physician Assistant Past Accepting new patients

Locations

582 Middletown Blvd
Ste B22
Langhorne, PA 19047
Phone (267) 201-8162

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1740214121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MIDDLETOWN BLVD. STE. B22",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "267-201-8162",
            "fax_number": "267-201-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MIDDLETOWN BLVD. STE B22",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "267-201-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000930",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP12730",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103191400-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.