Scott R Interwicz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

200 S Academy Rd
Guthrie, OK 73044-8727

Phone

(405) 260-4245

Fax

(402) 282-8237

NPI assigned

Sep 23, 2013

Last updated

Nov 13, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Mercy Hospital Healdton, Inc.

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1578710406
  Medicare reassignment NPD
• Mercy Hospital Kingfisher, Inc

  • Critical Access Hospital
  • Kingfisher, OK
  • NPI 1083048417
  Medicare reassignment NPD
• Mercy Hospital Logan County Inc

  • Critical Access Hospital
  • Guthrie, OK
  • NPI 1306126818
  Medicare reassignment NPD
• Community Hospital LLC

  dba Community Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Medicare reassignment
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment
• Mercy Hospital Tishomingo, Inc

  • Emergency Medicine Physician
  • Tishomingo, OK
  • NPI 1972809002
  Medicare reassignment
• TPG Hospital LLC

  dba Northwest Surgical Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1942260971
  Medicare reassignment
• Community Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1730366832

  Physician Assistant

  NPD
• Mercy Hospital Healdton, Inc.

  • Rural Health Clinic/Center
  • Healdton, OK
  • NPI 1437467388
  NPD
• Mercy Hospital Kingfisher, Inc

  • Diagnostic Radiology Physician
  • Kingfisher, OK
  • NPI 1285064618
  NPD
• Mercy Hospital Logan County, Inc

  dba Mercy Hospital Logan County Crescent Primary Care

  • Rural Health Clinic/Center
  • Crescent, OK
  • NPI 1659652071
  NPD

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1902232937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ACADEMY RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448727",
            "telephone_number": "405-260-4245",
            "fax_number": "402-282-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ACADEMY RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448727",
            "telephone_number": "405-260-4245",
            "fax_number": "402-282-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTERWICZ",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Hudson
• Shayla Dene Hudson
• Joe Harry Huffmyer, DPM
• Brennan Hunter
• Ihh PLLC
• Faith Celestina Tigak Itta
• J & E Distance Learning Professionals
• Aaron Keith Jackson I
• Kayla Jewell, MS, RD/LD
• John Vance Motors (Newby-Vance Mobility)

• Physician Assistant in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.