NPIMap

Individual provider Active NPI

Warren Edward Scott Jr., DO

  • Hospitalist Physician
  • Mountain Home, AR
National Provider Identifier
1750878286
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E-12602 Issued in AR
Practice address
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone
(870) 424-3181
Fax
(870) 424-3089
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X E-12602 AR Primary

Addresses

Primary practice location

624 Hospital Dr
Mountain Home, AR 72653-2955

Mailing address

860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200
Phone (870) 424-3181

Other practice location 1

860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200
Phone (870) 424-3181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001255 AR Practitioner - Hospitalist 9931502291 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First in Service Hospitalists PAGroup PAC ID 6608825682, 14 clinicians
Baxter County Regional Hospital IncGroup PAC ID 0042389264, 75 clinicians
Baxter Health Fulton County HospitalGroup PAC ID 0749716876, 6 clinicians

Practice addresses (Care Compare)

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1000

679 N Main St
Salem, AR 72576-9451
Phone (870) 895-2691

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • Baxter Health Fulton County Hospital Hospital, Salem, AR, CCN 041322
  • Izard Regional Hospital LLC Hospital, Calico Rock, AR, CCN 041306
  • Stone County Medical Center Hospital, Mountain View, AR, CCN 041310
  • Baxter Health Fulton County Hospital Nursing home, CCN 04Z322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-12602ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Fulton County Hospital CurrentSince Oct 29, 2021 Accepting new patients
First in Service Hospitalists, PA Hospitalist CurrentSince Jul 1, 2021 Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jul 1, 2021 Accepting new patients
Fulton County Hospital CurrentSince Oct 29, 2021 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

860 Highway 62 E
Ste 10
Mountain Home, AR 72653
Phone (870) 424-2224

624 Hospital Dr
#3600
Mountain Home, AR 72653

Interoperability endpoints

  • Direct secure messaging: warrenscott@sbpc.medalliesdirect.net

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1750878286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Highway 62 E Ste 10",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726533200",
            "country_code": "US",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WARREN",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-12602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.