Jon S Scarborough, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

H2757 Issued in TX

Practice address

108 Denver TRL
Azle, TX 76020-3614

Phone

(817) 444-8670

NPI assigned

Jun 14, 2006

Last updated

Nov 14, 2014By 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 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Locations

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.

• Comanche County Medical Center Company

  • Critical Access Hospital
  • Comanche, TX
  • NPI 1346544616
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Comanche County Medical Center Company

  dba Rising Star Pharmacy

  • Community/Retail Pharmacy
  • Rising Star, TX
  • NPI 1679174882
  NPD
• Nak Tricities Family Medicine, PLLC

  • Family Medicine Physician
  • Willow Park, TX
  • NPI 1255721569
  NPD (past)
• Steve Longacre M.D. PA

  • Emergency Medicine Physician
  • Bridgeport, TX
  • NPI 1609015072
  NPD (past)
• Tri Cities Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Willow Park, TX
  • NPI 1235449752
  NPD (past)
• Wellington Inpatient Specialists PLLC

  • Emergency Medicine Physician
  • Wellington, FL
  • NPI 1982958120
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1811930712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8549",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761240549",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DENVER TRL",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203614",
            "telephone_number": "817-444-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "JON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H2757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0094BP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133703204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133703208",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherie Jo Lynn Russell, LPN
• Haley Hortensia Saldivar, DO
• Cecilia Victoria Sanchez
• William C Sanders, D.O.
• Viki Santoyo, NURSE PRACTITIONER
• Mary Elizabeth Schaaf, LCSW
• Margaret Len Schwake, FNP-C
• Chakirra Seastrunk
• Segue Health of Texas PLLC
• Sarah Amily Sepulveda Farrar, FNP-C

• Emergency Medicine Physician in Azle, TX
• Providers in Azle, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.