Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD00042120 | WA |
N | 208600000X | Surgeon | MD00042120 | WA |
N | 2086S0102X | Surgical Critical Care | 11327 | HI |
N | 2086S0102X | Surgical Critical Care | 2009024741 | MO |
Y | 2086S0102X | Surgical Critical Care | 301145 | LA |
N | 2086S0127X | Trauma Surgeon | MD00042120 | WA |
NPI | 1245269711 |
---|---|
Provider Name | Dr. Floyd Earl Scott JR. |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70808-4363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1245269711 | (05) | MO |
VAD000 | (02) |