Robert L Scott MD Inc PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00023380 Issued in WA

Legal business name

ROBERT L SCOTT MD INC PS

Practice address

814 S Peabody St
Port Angeles, WA 98362-7906

Phone

(360) 457-4761

Fax

(360) 457-1744

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Robert Lester Scott, MD

Title

Owner MD

Phone

(360) 457-4761

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tien Vo

  • Clinical Social Worker
  • Port Angeles, WA
  • NPI 1689143471
  NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972704237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S PEABODY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627906",
            "telephone_number": "360-457-4761",
            "fax_number": "360-457-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S PEABODY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627906",
            "telephone_number": "360-457-4761",
            "fax_number": "360-457-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L SCOTT MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "360-457-4761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00023380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "114164",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019447",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rieker, MA60069647
• Dayna Ann Rietze, RDH
• Lon W Riggs, DDS
• Abel L Riojas, DMD
• Jodi Ellen Riverstone, RN, LMP
• Robert Perry, Licsw, PLLC
• Robert R. Witham, MD. Inc,PS
• Robert W Craven MD PC
• Erin Krista Roberts
• Wihinnapewin Robideau

• Specialist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.