Scott Charles Anderson, AU.D

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

22952 Issued in OR

Practice address

1367 W Harvard Ave
Roseburg, OR 97471-2838

Phone

(541) 672-8868

NPI assigned

Jul 19, 2006

Last updated

Apr 23, 2013By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Consultants of Southern Oregon IncGroup PAC ID 2062500929, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Audiology Consultants of Southern Oregon, Inc.

  • Audiologist
  • Roseburg, OR
  • NPI 1003009325
  Medicare reassignment Care Compare group
• James M Yun MD PC

  dba ENT Associates of Roseburg LLC

  • Otolaryngology Physician
  • Roseburg, OR
  • NPI 1255667747
  Medicare reassignment NPD
• ENT Associates of Roseburg LLC

  • Otolaryngology Physician
  • Roseburg, OR
  • NPI 1902132483
  NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD (past)
• David E Owens MD PC

  • Otolaryngology Physician
  • Roseburg, OR
  • NPI 1861571440
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1861412447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712838",
            "telephone_number": "541-672-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712838",
            "telephone_number": "541-672-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SCOTT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "22952",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "22952",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244131",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niki Desanto Amsden, PH.D.
• Brenda Anderson, LPN
• Douglas Edward Anderson, MD
• Gretchen Anderson, LMT
• Harold F Anderson, M.D.
• Steven Grant Anderson, AU.D.
• Andrea V Gray MD PC
• Nathan James Andrews, MD
• Angela Jones, MD, PC
• Hera Ansari, OD

• Audiologist-Hearing Aid Fitter in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Audiologist-Hearing Aid Fitter in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.