SCOTT A. IRVINE (NPI# 1730175035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730175035 |
| Entity Type | Individual |
| Full Name | SCOTT A. IRVINE |
| Credential | DO |
| Practice Address |
3800 S W S Young Dr Ste 201 Killeen TX 76542-3340 |
| Mailing Address |
Po Box 11538 Killeen TX 76547-1538 |
| Practice Telephone | 2542459175 |
| Practice Fax Number | 2542137771 |
| Mailing Telephone | 2542459175 |
| Mailing Fax Number | 2542137771 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | L8741 | TX | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
L8741 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 165738906 | 05 | |
| TX | RR MEDICARE | P01265608 | 01 |
| TX | MEDICARE PTAN | TXB165802 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 S W S Young Dr, Suite 201, Killeen, TX 765423311 | 2542459175 | 2542137771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205192853 | Scott Douglas Irvine | Emergency Medicine | 1101 Carriage Rd, Papillion, NE 68046-2803 | 2012-04-09 |
| 1063797124 | Scott Irvine | Student in an Organized Health Care Education/Training Program | 1955 27th Ave, Forest Grove, OR 97116-2962 | 2011-10-19 |
| 1942480397 | Scott W Irvine | Emergency Medicine | 619 19th St S, Ohb 251, Birmingham, AL 35249-1900 | 2007-11-13 |
| Street Address |
3800 S W S YOUNG DR STE 201 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851878102 | Dawn Marie Biddulph | Nurse Practitioner | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2018-07-19 |
| 1306338116 | Kecia Toombs | Nurse Practitioner | 3800 S W S Young Dr Ste 201, Killeen, TX 76542 | 2018-06-06 |
| 1093231631 | Thomas Ryan Temple | Registered Nurse | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2017-08-15 |
| 1487181681 | Melanie Murchison | Nurse Practitioner | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2017-05-18 |
| 1740540814 | Blake Aaron Sutton | Anesthesiology | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2012-05-23 |
| 1194000455 | Tonia G Mcnaughton | Nurse Practitioner | 3800 S W S Young Dr Ste 201, Killeen, TX 76542 | 2011-10-19 |
| 1538399779 | Donald R Tolbert | Nurse Anesthetist, Certified Registered | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2009-07-22 |
| 1689800419 | Integrated Pain Associates Pa | Anesthesiology | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2009-06-08 |
| 1760616718 | Mihaela Vivian Manavi | Nurse Anesthetist, Certified Registered | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2009-05-05 |
| 1609024371 | Benjamin Paul Lowry | Anesthesiology | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2008-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1144617408 | Andrew Scott Novack | Anesthesiology | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2015-04-23 |
| 1689800419 | Integrated Pain Associates Pa | Anesthesiology | 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033930 | Phuong Dinh Nguyen | Anesthesiology | 11726 E Streamertail Cir # 2, Cypress, TX 77433-6732 | 2020-11-08 |
| 1699375576 | Prwcswtx LLC | Anesthesiology | 700 Paredes Ave Ste 107, Brownsville, TX 78521-2169 | 2020-10-29 |
| 1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
| 1669081915 | Laila Pm&a Group Inc | Anesthesiology | 1803 Longwood Ct, Allen, TX 75013-3074 | 2020-07-23 |
| 1164050498 | Manuel Ybarra Md | Anesthesiology | 255 E Sonterra Blvd Ste 203, San Antonio, TX 78258-4076 | 2020-03-31 |
| 1104451079 | Daniel Dalton Dubose, Md, Pa | Anesthesiology | 201 Crown Pointe Blvd Ste 200, Willow Park, TX 76087-1304 | 2020-03-11 |
| 1700423738 | Esplanade Medical Services Pllc | Anesthesiology | 2024 W 15th St # F-366, Plano, TX 75075-7363 | 2019-12-10 |
| 1760027700 | Sameer Syed, Md, Pa | Anesthesiology | 3151 W 15th St Ste B, Plano, TX 75075-7731 | 2019-11-13 |
| 1518501030 | Institute of Precision Pain Medicine, Pllc | Anesthesiology | 13725 Northwest Blvd Ste 120a, Corpus Christi, TX 78410-3743 | 2019-10-29 |
| 1629628672 | Yancey Pain & Spine, Lllp | Anesthesiology | 9200 Pinecroft Dr Ste 330, Shenandoah, TX 77380-3279 | 2019-09-11 |
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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.