MEDICARE: DR. THOMAS HENRY SCOTT JR. MD

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	207RP1001X	Pulmonary Disease Physician	0101030239	VA
2	207RP1001X	Pulmonary Disease Physician	0130000125	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528056249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS HENRY SCOTT JR. MD

Provider Business Mailing Address
First Line	:	2616 E LAKE DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-1836
Country	:	US
Telephone Number	:	757-481-4296
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 E LAKE DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-1836
Country	:	US
Telephone Number	:	757-460-9200
Fax Number	:

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	05/17/2021

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