Active NPI
Scott S Oh, MD
- Internal Medicine Physician
- Nacogdoches, TX
National Provider Identifier
1861541211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29467
- Practice address
- 1329 N University Dr Ste E5
Nacogdoches, TX 75961-4226 - Phone
- (936) 564-1176
- Fax
- (936) 564-1227
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29467 | AZ | Primary |
Addresses
Primary practice location
1329 N University Dr Ste E5
Nacogdoches, TX 75961-4226
Mailing address
1329 N University Dr Ste E5
Nacogdoches, TX 75961-4226
Phone (936) 564-1176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 760927 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151124002919 | WA | Order and Referring Only - Internal Medicine | 4284608274 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29467 | AZ | MD | Internal Medicine Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Nacogdoches, TX
- NPI 1861637944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1861541211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 N UNIVERSITY DR STE E5",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614226",
"telephone_number": "936-564-1176",
"fax_number": "936-564-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 N UNIVERSITY DR STE E5",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614226",
"telephone_number": "936-564-1176",
"fax_number": "936-564-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "SCOTT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "29467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "760927",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
- Nowaitlist LLC (Nowaitlist.Org)
- Nuch of Texas (MedPost Urgent Care - Nacogdoches)
- Darla Daniel O'Dwyer, DT
- Jessica Ocker, APRN
- Oculofacial Plastic Surgery, PLLC
- Comfort Oladimeji
- Old Town Health Care LTD (Oak Manor Nursing Home)
- Oliver & Quinn PLLC
- Olufemi Oladele-Ajose MD PC (Nacogdoches Internal Medicine)
- Norma Olvera, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.