DR. SCOTT KNOWLES PRUITT (NPI# 1790726941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790726941 |
Entity Type | Individual |
Full Name | DR. SCOTT KNOWLES PRUITT |
Credential | M.D., PH.D. |
Practice Address |
508 Fulton St Durham Va Medical Center Durham NC 27705-3875 |
Mailing Address |
1010 W Forest Hills Blvd Durham NC 27707-1625 |
Practice Telephone | 9196843942 |
Mailing Telephone | 9196843942 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
97-01113 | NC | Allopathic & Osteopathic Physicians |
Street Address |
508 FULTON ST DURHAM VA MEDICAL CENTER |
City | DURHAM |
State | NC |
Zip Code | 27705-3875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
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Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467852137 | Kenneth Leung | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2014-08-29 |
1417290750 | Mathias Worni | Surgery | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2013-04-05 |
1285830604 | Michael T Stang | Surgery | 2301 Erwin Rd, Durham, NC 27710-3215 | 2007-06-22 |
1730242512 | Cary Robertson | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
1003996018 | Philip Walther | Surgery | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-10-16 |
1578583779 | Dan German Blazer IIi | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-07-20 |
1871531624 | Randall Paul Scheri | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558604520 | Benjamin William Deschner | Surgery | 21 Hospital Dr Fl 2, Asheville, NC 28801-4550 | 2013-03-28 |
1578072989 | Carter Martens | Surgery | 2104 Randolph Rd, Charlotte, NC 28207-1522 | 2017-09-28 |
1942554969 | Sonia Rosanne Cader | Surgery | 170 Manning Dr, 1150 Physicians Office Bldg., Cb#721, Chapel Hill, NC 27514-4221 | 2012-10-29 |
1033489687 | The Charlotte-mecklenburg Hospital Authority | Surgery | 10826 Mallard Creek Rd, Suite 100, Charlotte, NC 28262-7782 | 2012-01-12 |
1659692440 | Princess Nicole Thomas | Surgery | 150 Fairview Rd, Ste 110, Mooresville, NC 28117-9506 | 2010-06-16 |
1699902742 | Amy Voci | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-06-16 |
1073768461 | Western Surgical Center, Pa | Surgery | 60 Livingston St, Suite 300, Asheville, NC 28801 | 2008-11-26 |
1861645046 | Zvonimir Milas | Surgery | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2008-10-31 |
1871758235 | Michelle Marie Fillion | Surgery | 2131 S 17th St, Wilmington, NC 28401-7407 | 2008-07-25 |
1508021932 | Ashley Stewart | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2008-07-24 |
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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.