Healthcare Provider Details

I. General information

NPI: 1447293725
Provider Name (Legal Business Name): HOWARD K SCOTT JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NORTHPOINTE CIR SUITE 101
SEVEN FIELDS PA
16046-7851
US

IV. Provider business mailing address

100 NORTHPOINTE CIR SUITE 101
SEVEN FIELDS PA
16046-7851
US

V. Phone/Fax

Practice location:
  • Phone: 724-772-0777
  • Fax: 724-772-0050
Mailing address:
  • Phone: 724-772-0777
  • Fax: 724-772-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD035936E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierAS1246570
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerOEA
# 2
Identifier0010751780002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: