Patrick Vincent Scott, D.D.S. M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

211984 Issued in NY

Practice address

4010 Southwestern Blvd
Orchard Park, NY 14127-2155

Phone

(716) 646-9600

Fax

(716) 646-9603

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2017 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1740239037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 OLD LAKE SHORE RD",
            "city": "LAKEVIEW",
            "state": "NY",
            "postal_code": "140859547",
            "telephone_number": "716-927-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272155",
            "telephone_number": "716-646-9600",
            "fax_number": "716-646-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PATRICK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "211984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02021621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Ann Schwach, SLP
• David Schwartz, MS-FNP-BC, BSN, BS
• Deirdre Schwartz, FNP
• Michelle Schwartz, SLP
• Alison L Schweichler, LCSW-R
• Lisa Noelle Mary Sears-Ricotta, LCSW, CASAC
• Michelle Marie Sedar Parkes, PHARMD
• Abdollah Sedighi, MD
• James David Sedwick, ED.M., CCMHC, LMHC
• Phillip James Seereiter Jr., M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.