Healthcare Provider Details

I. General information

NPI: 1386094035
Provider Name (Legal Business Name): JEFFREY SCOTT SCRANTON MED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 RAILWAY AVE
SEWARD AK
99664-0999
US

IV. Provider business mailing address

PO BOX 1045
SEWARD AK
99664-1045
US

V. Phone/Fax

Practice location:
  • Phone: 907-224-5257
  • Fax: 907-802-6310
Mailing address:
  • Phone: 907-422-7163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10097
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: