Healthcare Provider Details

I. General information

NPI: 1497782320
Provider Name (Legal Business Name): SCOTT A VOTA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N 11TH ST NEUROLOGY - 7TH FLOOR
RICHMOND VA
23298-5002
US

IV. Provider business mailing address

PO BOX 91734
RICHMOND VA
23291-1734
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-9350
  • Fax:
Mailing address:
  • Phone: 804-358-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number0102201808
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0102201808
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: