Robert W. Scott, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

115530 Issued in NY

Practice address

320 Prather Ave
Jamestown, NY 14701-6820

Phone

(716) 664-5980

Fax

(716) 664-5944

NPI assigned

Jun 21, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750387213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PRATHER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016820",
            "telephone_number": "716-664-5980",
            "fax_number": "716-664-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PRATHER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016820",
            "telephone_number": "716-664-5980",
            "fax_number": "716-664-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "115530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00578583",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas L Scotchmer
• Colleen Scott
• Craig Scott, LCSW
• Elizabeth Freeman Scott, M.S. CCC/SLP
• Kimberly Evette Scott, COTA
• Patricia J Searle
• Carole P Seekings, RN
• Sean William Seibert, PHD
• Seneca Eye Surgeons, Inc.
• Ann Gleason Servoss, M.D.

• Dermatology Physician in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.