MEDICARE: DR. SCOTT D JAMES D.O.

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	2086S0129X	Vascular Surgery Physician	220277	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	469490	OTHER	MA	TUFTS HELATH PLAN
2	J27816	OTHER	MA	BCBSMA
3	3616736	OTHER	MA	AETNA/US HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	AA12748	OTHER	MA	HARVARD PILGRIM HEALTHCAR

General Provider Information

NPI Number	:	1922084458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT D JAMES D.O.

Provider Business Mailing Address
First Line	:	40 INDUSTRIAL PARK RD STE 203
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4888
Country	:	US
Telephone Number	:	508-356-6504
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 INDUSTRIAL PARK RD STE 203
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4888
Country	:	US
Telephone Number	:	508-356-6504
Fax Number	:

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

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	12/04/2025

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