Individual provider Active NPI

Scott McDonald

  • Family Medicine Physician
  • Newport, WA
National Provider Identifier
1841604642
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20091 Issued in NH
Practice address
714 W Pine St
Newport, WA 99156-9046
Phone
(509) 447-2441
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60780399 WA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 20091 NH Primary

Addresses

Primary practice location

714 W Pine St
Newport, WA 99156-9046

Mailing address

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

Other practice location 1

1290 W Horizon Ridge Pkwy
Apt 2923
Henderson, NV 89012-5500
Phone (203) 610-3584

Other practice location 2

1290 W Horizon Ridge Pkwy
Apt 2923
Henderson, NV 89012-5500
Phone (203) 610-3584

Other identifiers 1

IdentifierTypeStateIssuer
OP60780399OtherWALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181126003506 VT Practitioner - Emergency MedicinePractitioner - Family Practice 0446519573
I20210211000290 MA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0446519573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Practice addresses (Care Compare)

830 Constitution Ave
Littleton, MA 01460-1137
Phone (978) 287-8990

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos G Otis Health Care Center Inc CurrentSince Apr 14, 2020 Accepting new patients
Carlos G. Otis Health Care Center Inc. Current Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Apr 14, 2020 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Jan 26, 2021 Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

38 Highland Cmn E
Hudson, MA 01749
Phone (978) 287-8990

830 Constitution Ave
Littleton, MA 01460
Phone (978) 287-8990

Interoperability endpoints

  • Direct secure messaging: mcdonald.scott.epa@direct.partners.masshiway.net

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.

Hospital & facility affiliations 2

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841604642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 W Horizon Ridge Pkwy",
            "address_2": "Apt 2923",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890125500",
            "country_code": "US",
            "telephone_number": "203-610-3584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1290 W Horizon Ridge Pkwy",
            "address_2": "Apt 2923",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890125500",
            "country_code": "US",
            "telephone_number": "203-610-3584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60780399",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "20091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OP60780399",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, WA

Sources for this page

Verify at the official NPI Registry.