Active NPI
Scott Steven Prince, DO
- Family Medicine Physician
- Hanover Township, PA
National Provider Identifier
1790778678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS007533L
- Practice address
- 101 W End Rd
Hanover Township, PA 18706-5448 - Phone
- (570) 822-8875
- Fax
- (570) 822-8873
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS007533L | PA | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OS007533L | PA |
Addresses
Primary practice location
101 W End Rd
Hanover Township, PA 18706-5448
Mailing address
101 W End Rd
Hanover Township, PA 18706-5448
Phone (570) 822-8875
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01405578 | Medicaid | PA | |
| OS007533L | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007533L | PA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health and Hospital Services, Inc. | Family Medicine | Past | Accepting new patients |
| Modern Family Health, Inc. | Family Medicine | Past | Accepting new patients |
| Scott S Prince, DO, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Hanover Township, PA
- NPI 1194168484
-
- Family Medicine Physician
- Shickshinny, PA
- NPI 1407252349
-
- Family Medicine Physician
- Kingston, PA
- NPI 1316978885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1790778678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W END RD",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187065448",
"telephone_number": "570-822-8875",
"fax_number": "570-822-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W END RD",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187065448",
"telephone_number": "570-822-8875",
"fax_number": "570-822-8873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "SCOTT",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS007533L",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "PA",
"license": "OS007533L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01405578",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OS007533L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover Township, PA
- Pharmerica Drug Systems LLC
- Phoenix Rehabilitation and Health Services, Inc.
- Courtney Ann Pierce, MPT
- Power Chiropractic Health Center, LLC
- Premise Health of Pennsylvania Medical, P.C
- Professional Development Services Inc
- Carol Ann Proleika, OTR/L
- John Rehill, LCSW
- Kathleen Richards, MPT
- Megan Ruseskas, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.