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General NPI Number Information
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NPI Number | 1164513719
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Entity Type | Individual
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Provider Name | SCOTT CARRINGTON
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 915 SAGAMORE PKWY W
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City | WEST LAFAYETTE
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State | IN
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Zip | 47906-1443
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Country | US
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Telephone | 765-463-2424
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Fax | 765-463-2249
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DR SUITE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7240
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-107837
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01073267A
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License Number State | IN
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