Healthcare Provider Details

I. General information

NPI: 1215774203
Provider Name (Legal Business Name): NEAL B SCOTT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 THOMAS LN
COLUMBUS OH
43214-3902
US

IV. Provider business mailing address

4483 SNOWY MEADOW DR
GROVE CITY OH
43123-8197
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-2500
  • Fax:
Mailing address:
  • Phone: 614-307-1652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberAPRN.CNP.0036975
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: