Active NPI
Charles W Scowcroft, M.D.
- Gastroenterology Physician
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- TP500
- Practice address
- 225 Medical Center Dr Ste 308
Paducah, KY 42003-7915 - Phone
- (270) 443-0777
- Fax
- (270) 443-0999
- NPI assigned
- May 24, 2006
- Last updated
- Jan 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 11819 | SC | |
| Gastroenterology Physician | 207RG0100X | TP500 | KY | Primary |
Addresses
Primary practice location
225 Medical Center Dr Ste 308
Paducah, KY 42003-7915
Mailing address
225 Medical Center Dr Ste 308
Paducah, KY 42003-7915
Phone (270) 443-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118198 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Temple University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (270) 443-0777
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Gastroenterology | Current | Accepting new patients |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Pecora Medical, PC | Past | Accepting new patients | |
| Charles W. Scowcroft | Past | Accepting new patients | |
| Sunnyside Community Hospital Association | Past | Accepting new patients |
Locations
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4760
208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080
110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000
Interoperability endpoints
- charlesscowcroft@agallc.allscriptsdirect.net
Organizations & group practices 11
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.
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1679521637
-
dba Mercy Health - Paducah Orthopedics
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
dba Owensboro Health Gastroenterology and Hepatology
- Gastroenterology Physician
- Owensboro, KY
- NPI 1265747752
-
dba Valley Medi-Center
- Clinic/Center
- Union Gap, WA
- NPI 1184143588
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
-
dba Astria Health Center
- Clinic/Center
- Yakima, WA
- NPI 1609395060
-
dba Anderson Gastroenterology Associates,LLC
- Endoscopy Clinic/Center
- Anderson, SC
- NPI 1356477368
-
- Internal Medicine Physician
- Anderson, SC
- NPI 1275825994
-
dba Central Washington Rehabilitation Clinic
- Rehabilitation Clinic/Center
- Yakima, WA
- NPI 1982123394
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1750336863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR STE 308",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037915",
"telephone_number": "270-443-0777",
"fax_number": "270-443-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR STE 308",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037915",
"telephone_number": "270-443-0777",
"fax_number": "270-443-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOWCROFT",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "11819",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "TP500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118198",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.