Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD025576E | PA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD025576E | PA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD025576E | PA |
NPI | 1104884568 |
---|---|
Provider Name | Elaine B Scott |
First Address | Natrona Heights, PA 15065 |
Second Address | Natrona Heights, PA 15065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 06/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009899280003 | (05) | PA |
13553 | ELDER HEALTH (01) | |
151031 | BLUE SHIELD (01) | |
250011653 | RR MEDICARE (01) | |
722597 | BS (01) | |
C32002 | (02) |