MEDICARE: JOHNNY SCOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	69208	TX

General Provider Information

NPI Number	:	1023565215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNNY SCOTT

Provider Business Mailing Address
First Line	:	523 REBECCA DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-3061
Country	:	US
Telephone Number	:	214-226-7681
Fax Number	:

Provider Business Practice Location Address
First Line	:	523 REBECCA DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-3061
Country	:	US
Telephone Number	:	214-226-7681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2016
Last Update Date	:	09/06/2016

Similar Medicare Providers

1205173374 — DR. LATORA GRANT SCOTT PHD, RN
Practice Location Address:

523 REBECCA DR
CEDAR HILL, TX
75104-3061

Practice Phone: 469-516-2686
Practice Fax:

1043213572 — DR. DAVID JOSEPH HARVEY D.C.
Practice Location Address:

1519 42ND ST NE , STE 100
CEDAR RAPIDS, IA
52402-3061

Practice Phone: 319-743-0706
Practice Fax:

1386630663 — DR. MARK J GOEDKEN MD
Practice Location Address:

1515 42ND ST NE
CEDAR RAPIDS, IA
52402-3061

Practice Phone: 319-365-7581
Practice Fax: 319-365-0163

1871579532 — DR. RICHARD DARRELL LOUVAR D.O.
Practice Location Address:

1515 42ND ST NE
CEDAR RAPIDS, IA
52402-3061

Practice Phone: 319-395-7878
Practice Fax: 319-395-7898

1285663849 — FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C.
Practice Location Address:

1515 42ND ST NE
CEDAR RAPIDS, IA
52402-3061

Practice Phone: 319-365-7581
Practice Fax: 319-365-0163

1487731402 — PRACTICE OF FAMILY MEDICINE, P.C.
Practice Location Address:

1515 42ND ST NE
CEDAR RAPIDS, IA
52402-3061

Practice Phone: 319-395-7878
Practice Fax: 319-395-7898

Directions to “ JOHNNY SCOTT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.