Active NPI
Mariah Lynn Scott, DO
- Pediatrics Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 006706
- Practice address
- 6301 S McClintock Dr
#101
Tempe, AZ 85283-3392 - Phone
- (480) 831-6800
- Fax
- (480) 897-2799
- NPI assigned
- Jun 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL1595 | SC | |
| Pediatrics Physician | 208000000X | 006706 | AZ | Primary |
Addresses
Primary practice location
6301 S McClintock Dr
#101
Tempe, AZ 85283-3392
Mailing address
2550 E Guadalupe Rd
#115
Gilbert, AZ 85234-5114
Phone (480) 632-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028358 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006706 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Phoenix Children'S Medical Group | Current | Accepting new patients |
Locations
205 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 963-6668
1760 E Pecos Rd
Ste 207
Gilbert, AZ 85295
Phone (480) 813-0944
2550 E Guadalupe Rd
Ste 115
Gilbert, AZ 85234
Phone (480) 214-2300
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
6301 S McClintock Dr
Ste 101
Tempe, AZ 85283
Phone (480) 214-2300
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1871856773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 E GUADALUPE RD",
"address_2": "#115",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852345114",
"telephone_number": "480-632-1544",
"fax_number": "480-632-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 S MCCLINTOCK DR",
"address_2": "#101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833392",
"telephone_number": "480-831-6800",
"fax_number": "480-897-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MARIAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-17",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL1595",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "006706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028358",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.