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1336163526

NPI Code Detail

MEDICARE: DR. SCOTT S ORTH DO

MEDICARE: DR. SCOTT S ORTH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	10600	FL
2	2084P0800X	Psychiatry Physician	48722	MN
3	2084P0804X	Child & Adolescent Psychiatry Physician	51125	CO
4	2084P0804X	Child & Adolescent Psychiatry Physician	73781-21	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336163526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT S ORTH DO

Provider Business Mailing Address
First Line	:	8901 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1706
Country	:	US
Telephone Number	:	414-463-1880
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1706
Country	:	US
Telephone Number	:	414-463-1880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	01/22/2025

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1619140043 — CLAUDIA ANN MEYER OTR
Practice Location Address:

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Directions to “ DR. SCOTT S ORTH DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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