MEDICARE: SCOTT G HOUGHTON 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	208600000X	Surgery Physician	68096-20	WI
2	208600000X	Surgery Physician	41323	IA
3	208600000X	Surgery Physician	44726	MN

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982683447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT G HOUGHTON MD

Provider Business Mailing Address
First Line	:	1450 EASTSIDE RD
Second Line	:
City	:	PLATTEVILLE
State	:	WI
Zip	:	53818-9800
Country	:	US
Telephone Number	:	608-348-2331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 EASTSIDE RD
Second Line	:
City	:	PLATTEVILLE
State	:	WI
Zip	:	53818-9800
Country	:	US
Telephone Number	:	608-348-2331
Fax Number	:

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	11/13/2020

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