Individual provider Active NPI

Edward J Scott, MD

  • Internal Medicine Physician
  • Morehead, KY
National Provider Identifier
1962467092
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19731 Issued in KY
Practice address
234 Medical Cir
Morehead, KY 40351-1194
Phone
(606) 784-6641
Fax
(606) 780-2379
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19731 KY Primary

Addresses

Primary practice location

234 Medical Cir
Morehead, KY 40351-1194

Mailing address

234 Medical Cir
Morehead, KY 40351-1194
Phone (606) 784-6641

Other identifiers 2

IdentifierTypeStateIssuer
64197312MedicaidKY
19731OtherKYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000931 KY Practitioner - Internal Medicine 3577742527 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19731KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince Jan 1, 2011 Accepting new patients
St Claire Medical Center, Inc., Internal Medicine Current Accepting new patients
St Claire Medical Center, Inc., Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Black & Carpenter PSC Internal Medicine Current Accepting new patients

Locations

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

405 Clinic Dr
Morehead, KY 40351

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

234 Medical Cir
Morehead, KY 40351
Phone (606) 784-6641

255 Old Viking Dr
Morehead, KY 40351
Phone (606) 784-2774

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1962467092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511194",
            "telephone_number": "606-784-6641",
            "fax_number": "606-780-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511194",
            "telephone_number": "606-784-6641",
            "fax_number": "606-780-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "19731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64197312",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19731",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.