Active NPI
Jeffrey L. Scott, PA-C
- Physician Assistant
- Cibolo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02211
- Practice address
- 791 FM 1103
Suite # 125
Cibolo, TX 78108 - Phone
- (210) 888-1175
- NPI assigned
- Sep 2, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02211 | TX | Primary |
Addresses
Primary practice location
791 FM 1103
Suite # 125
Cibolo, TX 78108
Mailing address
791 FM 1103
Suite # 125
Cibolo, TX 78108
Phone (210) 888-1175
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8370NT | Other | TX | BCBS |
| 192969701 | Medicaid | TX | |
| 82N653 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Pleasanton Rd
San Antonio, TX 78214-1305
Phone (210) 921-6600
720 Pleasanton Rd
San Antonio, TX 78214-1306
7219 Culebra Rd
San Antonio, TX 78251-1305
Phone (210) 509-2603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Fast Track Urgent Care - Bastrop | Physician Assistant | Current | Accepting new patients |
| St. David'S Carenow Urgent Care PLLC | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
791 FM 1103
Ste 125
Cibolo, TX 78108
Phone (210) 888-1175
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478
Organizations & group practices 8
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1023030160
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1063670289
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1497151237
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1770143315
-
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Urgent Care Clinic/Center
- Bastrop, TX
- NPI 1962193680
Physician Assistant
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1891897625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 FM 1103",
"address_2": "SUITE # 125",
"city": "CIBOLO",
"state": "TX",
"postal_code": "78108",
"telephone_number": "210-888-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 FM 1103",
"address_2": "SUITE # 125",
"city": "CIBOLO",
"state": "TX",
"postal_code": "78108",
"telephone_number": "210-888-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JEFFREY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8370NT",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192969701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82N653",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cibolo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.
- 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.