BLAKE K SCOTT (NPI# 1962645929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962645929 |
| Entity Type | Individual |
| Full Name | BLAKE K SCOTT |
| Credential | M.D. |
| Practice Address |
1901 S Hawthorne Rd Suite 310 Winston Salem NC 27103-3921 |
| Mailing Address |
1830 S Hawthorne Rd Winston Salem NC 27103-4014 |
| Practice Telephone | 3364482427 |
| Practice Fax Number | 3367652869 |
| Mailing Telephone | 3364482427 |
| Mailing Fax Number | 3367652869 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2013-00510 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2013-00510 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675752 | Blake Scott | Specialist | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2018-07-02 |
| 1972714707 | Blake William Scott | Student in an Organized Health Care Education/Training Program | 13128 14th St, First Dental Battalion Ndc, Camp Pendleton, CA 92055 | 2007-05-24 |
| Street Address |
1901 S HAWTHORNE RD SUITE 310 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120700 | Whap Pa | Obstetrics & Gynecology | 1901 S Hawthorne Rd, Ste 320, Winston Salem, NC 27103-3921 | 2005-11-02 |
| 1851744841 | Kianna Dawn Wood | Physician Assistant | 1901 S Hawthorne Rd, Suite #310, Winston Salem, NC 27103-3921 | 2016-07-14 |
| 1033523725 | Gastroenterology Associates of The Piedmont, P.a. | Anesthesiology | 1901 S Hawthorne Rd, Suite 308, Winston Salem, NC 27103 | 2014-06-20 |
| 1255755963 | Forsyth Memorial Hospital Inc | Internal Medicine | 1901 S Hawthorne Rd, Suite 220, Winston Salem, NC 27103-3921 | 2014-02-17 |
| 1336585561 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 1901 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103 | 2013-05-15 |
| 1730444290 | Brooke E Orr | Dietitian, Registered | 1901 S Hawthorne Rd, Suite 360, Winston Salem, NC 27103-3921 | 2012-07-11 |
| 1730449240 | Kathleen Ann Sigler | Dietitian, Registered | 1901 S Hawthorne Rd, Suite 360, Winston Salem, NC 27103-3921 | 2012-05-18 |
| 1821358326 | Regina Ann Gordon | Dietitian, Registered | 1901 S Hawthorne Rd, Suite 360, Winston Salem, NC 27103-3921 | 2012-05-18 |
| 1508099839 | Whitney H Brooks | Physician Assistant | 1901 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103-3921 | 2009-09-03 |
| 1184885337 | Kimberly K Ray | Physician Assistant | 1901 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103-3921 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1184701377 | Charles Peter Katopes IIi | Internal Medicine | 2025 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5663 | 2006-11-01 |
| 1679687586 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 875 Bethesda Rd, Winston Salem, NC 27103 | 2006-08-18 |
| 1124132022 | James Samuel Gibbs | Internal Medicine | 1830 S Hawthorne Road, Winston Salem, NC 27103-4047 | 2006-08-18 |
| 1558328492 | Sean M Harris | Internal Medicine | 1830 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103-4014 | 2006-04-26 |
| 1184276271 | Kara Marie Kingma | Internal Medicine | 500 Shepherd St, Winston Salem, NC 27103-1633 | 2019-07-10 |
| 1124439740 | Tina Pakala | Internal Medicine | 2025 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5663 | 2014-05-16 |
| 1588004691 | Stephen Young-shin Oh | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-07-03 |
| 1760829428 | Jared Rejeski | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-06-03 |
| 1336585561 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 1901 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103 | 2013-05-15 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.