MEDICARE: SCOTT BAILEY HUGHEY M.D.

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	208D00000X	General Practice Physician	0101256738	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	0101256738	VA

General Provider Information

NPI Number	:	1710228226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT BAILEY HUGHEY M.D.

Provider Business Mailing Address
First Line	:	PSC 482 BOX 1600
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96362-0017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	NAVAL HOSPITAL OKINAWA
Second Line	:	CHATAN, NAKAGAMI DISTRICT
City	:	FPO
State	:	AP
Zip	:	96362
Country	:	US
Telephone Number	:	315-646-7268
Fax Number	:

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

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	02/21/2023

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