SCOTT J KING (NPI# 1477765071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477765071 |
| Entity Type | Individual |
| Full Name | SCOTT J KING |
| Credential | M.D. |
| Practice Address |
611 E Douglas Rd Ste 200 Mishawaka IN 46545-1465 |
| Mailing Address |
121 S Saint Louis Blvd South Bend IN 46617-2924 |
| Practice Telephone | 5742725347 |
| Practice Fax Number | 5742728617 |
| Mailing Telephone | 5742333123 |
| Mailing Fax Number | 5742333125 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01070924A | IN | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
01070924A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201072620 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 S Saint Louis Blvd, South Bend, IN 466172924 | 5742333123 | 5742333125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134664170 | Scott King | Emergency Medicine | 458 17th Ave, Brick, NJ 08724-2647 | 2016-12-29 |
| 1629446117 | Scott King | Chiropractor | 900 E Louisiana Ave, #201, Denver, CO 80210 | 2015-09-14 |
| 1457747388 | Scott King | Registered Nurse | 2715 Meadow Vw Apt 3, Fayetteville, AR 72704-9352 | 2015-04-07 |
| 1053648923 | Scott Glen King | Physical Therapist | 103 S Commercial Ave, Emmett, ID 83617-2921 | 2009-11-12 |
| 1386879344 | Scott David King | Physical Therapist | 919 Early Blvd, Suite 1a, Early, TX 76802-2209 | 2009-05-20 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1629066956 | Scott Byron King | Podiatrist | 515 Church St, Ottumwa, IA 52501-4216 | 2005-10-11 |
| 1710543384 | Scott Patrick King | Physical Therapist | 1315 Roberts St, Camden, SC 29020-3737 | 2019-05-19 |
| 1699979880 | Scott Thomas King | Orthopaedic Surgery | 1855 Powder Mill Rd, York, PA 17402-4723 | 2007-06-12 |
| 1447387543 | Scott Alexander King | Anesthesiology | 307 Boatner Rd, Bldg 2825, Eglin Afb, FL 32542-1302 | 2007-02-27 |
| Street Address |
611 E DOUGLAS RD STE 200 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982656963 | Terrence D. Wilkin | Radiology | 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 | 2006-05-17 |
| 1508025867 | Ziad Youssef Fayad | Surgery | 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 | 2008-06-03 |
| 1518171107 | Ryan B Greene | Radiology | 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306317565 | Donita Renee Morris | Radiology | 6910 N Oxford St, Indianapolis, IN 46220-2255 | 2018-12-16 |
| 1174099147 | Omnivas Nwi | Radiology | 8127 Merrillville Rd Ste 1, Merrillville, IN 46410-6306 | 2018-10-17 |
| 1669982492 | Us Access Care of Indianapolis, LLC | Radiology | 201 North Illinois St, 16th Floor - South Tower, Indianapolis, IN 46204-4618 | 2017-10-06 |
| 1487038360 | Beacon Medical Group, Inc. | Radiology | 233 Florence Ave, Granger, IN 46530-8048 | 2015-07-10 |
| 1396075982 | Ir Halum, LLC | Radiology | 5953 Calais Ct, Indianapolis, IN 46220-6004 | 2010-01-05 |
| 1952307480 | Joseph W Eke Jr. | Radiology | 711 S East St, Indianapolis, IN 46225-1317 | 2005-06-21 |
| 1053922849 | Ultrasonic Medical Specialists LLC | Radiology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-08-13 |
| 1912522368 | Ng Medical Center LLC | Radiology | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2020-06-11 |
| 1487176004 | Modern Vascular and Vein Center LLC | Radiology | 951 Transport Dr, Valparaiso, IN 46383-8434 | 2017-07-14 |
| 1154856789 | Xrc Clinical Radiology, LLC | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.