Healthcare Provider Details

I. General information

NPI: 1700810553
Provider Name (Legal Business Name): RICHARD THOMAS SCOTT JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W NORTH RIVER DRIVE SUITE 100
SPOKANE WA
99201
US

IV. Provider business mailing address

201 W NORTH RIVER DRIVE SUITE 100
SPOKANE WA
99201
US

V. Phone/Fax

Practice location:
  • Phone: 509-462-7070
  • Fax: 973-290-8370
Mailing address:
  • Phone: 509-462-7070
  • Fax: 973-290-8370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number25MA06194800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD61605760
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: