SCOTT SCHULTZ (NPI# 1770091241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770091241 |
| Entity Type | Individual |
| Full Name | SCOTT SCHULTZ |
| Other Name | SCOTT SCHULTZ |
| Credential | PA-C |
| Practice Address |
1055 N 500 W Ste 121, Building C Provo UT 86404 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604 |
| Practice Telephone | 8013733750 |
| Practice Fax Number | 8018125401 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10825054-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170246 | Scott H Schultz | Obstetrics & Gynecology | 520 S Sibley Ave, Litchfield, MN 55355-3030 | 2006-03-29 |
| 1699275784 | Scott Schultz | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-15 |
| 1265786099 | Scott Schultz | Pharmacist | 13111 N Port Washington Rd, Csm Ozaukee Hospital Inpatient Pharmacy, Mequon, WI 53097-2416 | 2012-10-31 |
| 1043467368 | Scott C Schultz | Physical Medicine & Rehabilitation | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2008-08-19 |
| 1841458056 | Scott Keith Schultz | Ophthalmology | 224 Pembroke Dr, Hilton Head Island, SC 29926-6200 | 2008-05-26 |
| 1588778831 | Scott Christopher Schultz | Dentist | 1835 Kingshighway, Washington Park, IL 62204 | 2006-08-17 |
| 1790739886 | Scott D Schultz | Physician Assistant | 190 Campus Blvd, Suite 410, Winchester, VA 22601-2872 | 2006-05-22 |
| 1316990559 | Scott L Schultz | Emergency Medicine | One Hospital Dr, Columbia, MO 65212-0001 | 2006-05-18 |
| 1093790347 | Scott J Schultz | Physical Therapist | 4151 W Orleans St, Mchenry, IL 60050-3973 | 2005-12-09 |
| 1265427132 | Scott R. Schultz | Optometrist | 735 Northfield Ave, West Orange, NJ 07052-1103 | 2005-09-15 |
| Street Address |
1055 N 500 W STE 121, BUILDING C |
| City | PROVO |
| State | UT |
| Zip Code | 86404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1396079323 | Desert Hills Fire District | Personal Emergency Response Attendant | 3983 London Bridge Rd, Lake Havasu City, AZ 86404 | 2009-09-23 |
| 1548446990 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5651 Hwy 95 North, Lake Havasu, AZ 86404 | 2008-01-16 |
| 1386701431 | Colleen Lynn Mcshea | Speech-Language Pathologist | 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 | 2007-01-01 |
| 1053978593 | Andrew David Skorheim | Pharmacist | Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 | 2019-05-21 |
| 1629507272 | Stephanie Rose Centera | Specialist/Technologist | 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404 | 2017-06-07 |
| 1104267491 | Nicole B. Buth | Speech-Language Pathologist | 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 | 2013-07-15 |
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| 1275853871 | Karen Ann Olsavsky | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2010-06-04 |
| Find all providers in zip 86404 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049201 | Makenzie Bishop | Physician Assistant | 1077 S 810 E, Provo, UT 84606-6390 | 2020-07-05 |
| 1821643974 | Michael Riding | Physician Assistant | 781 N 1100 E, Provo, UT 84606-2054 | 2019-08-06 |
| 1871147306 | Heather Robson Dunford | Physician Assistant | 1055 N 500 W # 100, Provo, UT 84604-3305 | 2019-08-01 |
| 1730741414 | Griffith Jones | Physician Assistant | 94 S 700 E, Provo, UT 84606-4912 | 2019-07-02 |
| 1881106359 | Kathryn R. Lovell | Physician Assistant | 465 N 300 W Apt 22, Provo, UT 84601-2797 | 2017-10-24 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1386980597 | Preston Gray | Physician Assistant | 2230 North University Parkway #1a, Provo, UT 84604 | 2012-12-14 |
| 1093088445 | Laurie Melissa Centeno | Physician Assistant | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2012-02-15 |
| 1982881181 | Darron Terry Smith | Physician Assistant | 191 N 900 E, Provo, UT 84606-3537 | 2008-01-30 |
| 1760695514 | Bruce Mcclanahan Burnham | Physician Assistant | 3152 North University Ave, Suite 120, Provo, UT 84604 | 2007-05-08 |
| Find all providers in PROVO | ||||
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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.