Healthcare Provider Details

I. General information

NPI: 1104884568
Provider Name (Legal Business Name): ELAINE B SCOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CARLISLE ST
NATRONA HEIGHTS PA
15065
US

IV. Provider business mailing address

7 ACEE DRIVE
NATRONA HEIGHTS PA
15065
US

V. Phone/Fax

Practice location:
  • Phone: 724-226-7330
  • Fax: 724-226-7150
Mailing address:
  • Phone: 800-223-5544
  • Fax: 724-294-3206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD025576E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberMD025576E
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD025576E
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License NumberMD025576E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: