Robert L Scott, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00023380 Issued in WA

Practice address

814 S Peabody St
Port Angeles, WA 98362-7906

Phone

(360) 457-4761

Fax

(360) 457-1744

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891887857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ISLAND VIEW RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629133",
            "telephone_number": "360-457-4761",
            "fax_number": "360-457-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S PEABODY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627906",
            "telephone_number": "360-457-4761",
            "fax_number": "360-457-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00023380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019447",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Ann Schweyen, D.C.
• Scott M Braun OD PLLC
• Scott M Van Dyken DMD PLLC
• Amy Scott, RN
• Jonathan Scott
• Joshua Sculley
• Sea Mar Community Health Centers
• Seattle Vamc
• Amy Lee Seegers, M.D.
• Junne E Seela, LCSW

• Specialist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.