Scott Lawrence McNairy, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22904 Issued in MN

Practice address

Wayzata Blvd Suite 255
St. Louis Park, MN 55416-1275

Phone

(612) 273-8710

Fax

(612) 273-8727

NPI assigned

Oct 11, 2006

Last updated

Jun 28, 2019By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1912096728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WOODLAND CIRCLE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55424",
            "telephone_number": "612-819-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAYZATA BLVD SUITE 255",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554161275",
            "telephone_number": "612-273-8710",
            "fax_number": "612-273-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAIRY",
        "first_name": "SCOTT",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "22904",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MN",
            "license": "22904",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MN",
            "license": "22904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Dennis McMahon, MD
• Lora L McManus
• Callie Joyce McMillan, MS
• Heather Lee McMillion-Weinandt
• Dannette K McMurtry
• Anna R McNanley, M.D.
• Thomas James McNanley, MD
• Mary McNaughton
• Michael F. McNeeley, MD
• Michelle Dawn McPhillips, MOT

• Psychiatry Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.