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Physician Compare National (NPI:1295877207)

HEALTHCARE PROVIDER: FRANK EUGENE SCOTT JR. D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1295877207
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456412816
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20081204000465
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SCOTT
Individual professional last name
Provider First Name FRANK
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name KANSAS CITY MEDICAL COLLEGE
Individual professional's medical school
Graduation Year 1975
Individual professional's medical school graduation year
Primary Specialty RHEUMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1310 LAS TABLAS RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 204
Group Practice or individual's line 2 address
City TEMPLETON
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 934659747
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050107
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MARIAN REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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