Organization Active NPI

Scott E Vincent M. D. , P. C.

  • Primary Care Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1942395694
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
33850 Issued in CO
Legal business name
SCOTT E VINCENT M. D. , P. C.
Practice address
601 Center Ave
Grand Junction, CO 81501-2041
Phone
(970) 242-3641
Fax
(970) 256-0945
NPI assigned
Oct 4, 2006
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Scott E Vincent, M.D.NPI 1346395985
Title
President
Phone
(970) 242-3641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 33850 CO Primary

Addresses

Primary practice location

601 Center Ave
Grand Junction, CO 81501-2041

Mailing address

601 Center Ave
Grand Junction, CO 81501-2041
Phone (970) 242-3641

Other identifiers 1

IdentifierTypeStateIssuer
04021689MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000584 CO Part B Supplier - Clinic/Group Practice 2769575752 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1942395694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CENTER AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012041",
            "telephone_number": "970-242-3641",
            "fax_number": "970-256-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CENTER AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012041",
            "telephone_number": "970-242-3641",
            "fax_number": "970-256-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT E VINCENT M. D. , P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-242-3641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "33850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04021689",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.