Active NPI
Charles M Scott II, MD
- Surgery Physician
- Wilmington, NC
National Provider Identifier
1811916273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26870
- Practice address
- 1202 Medical Center Dr
Wilmington, NC 28401-7307 - Phone
- (910) 763-6289
- Fax
- (910) 251-1420
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26870 | NC | Primary |
Addresses
Primary practice location
1202 Medical Center Dr
Wilmington, NC 28401-7307
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 763-6289
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020030292 | Other | NC | RAILROAD MEDICARE |
| 75016 | Other | NC | BCBS NC |
| 8975016 | Medicaid | NC |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26870 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Sciences Foundation Inc. | Surgery | Past | Accepting new patients |
| Wilmington Health PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba DBA University Professional Services
- Internal Medicine Physician
- Wilmington, NC
- NPI 1942288600
Surgery
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1811916273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-763-6289",
"fax_number": "910-251-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-763-6289",
"fax_number": "910-251-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "26870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020030292",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "75016",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8975016",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.