Peter Scott Abbott, MD
Individual provider Active NPI Family Medicine Physician · Willards, MD
NPI 1982603759 · NPPES record last updated Jun 13, 2014
Key facts
- NPI
- 1982603759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0030619 (MD)
- Practice address
- 6141 Massey Crossing Rd
Willards, MD 21874-1174 - Phone
- (410) 835-2356
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0030619 | MD | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0030619 | MD | Yes |
Addresses
Primary practice location
6141 Massey Crossing Rd
Willards, MD 21874-1174
Mailing address
6141 Massey Crossing Rd
Willards, MD 21874-1174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184832040 | Other | MD | GROUP NPI |
| 380091100 | Medicaid | MD | |
| 0000241001 | Medicaid | DE | |
| K230S443 | Medicaid | MD |
Other providers in Willards, MD
All providers in Willards, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.