Individual provider Active NPI

William J Scott, M.D.

  • Personal Emergency Response Attendant
  • Casa Grande, AZ
National Provider Identifier
1811041320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
13225 Issued in AZ
Practice address
1676 E McMurray Blvd
Casa Grande, AZ 85222-6014
Phone
(520) 316-0688
Fax
(520) 316-9689
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 13225 AZ Primary

Addresses

Primary practice location

1676 E McMurray Blvd
Casa Grande, AZ 85222-6014

Mailing address

PO Box 11890
Casa Grande, AZ 85230-1890
Phone (520) 316-6300

Other identifiers 2

IdentifierTypeStateIssuer
454950MedicaidAZ
108895OtherAZPIN NUMBER MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20051107000341 AZ Practitioner - Emergency Medicine 6901853944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13225AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Nov 30, 2012 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Nov 30, 2012 Accepting new patients
Mesa Emergency Group LLC Past Accepting new patients
Casa Grande Community Hospital Past Accepting new patients
Regional Care Physicians Grooup Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811041320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11890",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852301890",
            "telephone_number": "520-316-6300",
            "fax_number": "520-381-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 E MCMURRAY BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852226014",
            "telephone_number": "520-316-0688",
            "fax_number": "520-316-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "AZ",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454950",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER MEDICARE",
            "identifier": "108895",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.