Kenneth James Scott (NPI# 1982052866, PAC ID# 6103111703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982052866 |
| PAC ID by PECOS | 6103111703 |
| Professional Enrollment ID | I20160822001435 |
| Full Name | Kenneth James Scott |
| Organization Legal Name | PIC INDIANA PC |
| Address |
505 W Cleveland Rd Mishawaka IN 46545-1003 |
| Phone Number | 5742353135 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476790239 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 920 E Coliseum Boulevard, Physicians Urgent Care, Fort Wayne, IN 46805-1329 | 2604988077 | PIC INDIANA PC |
| 505 W Cleveland Rd, Mishawaka, IN 46545-1003 | 5742353135 | PIC INDIANA PC |
| 1245 E Ireland Rd B, South Bend, IN 46614-3448 | 5743127022 | PIC INDIANA PC |
| Organization Legal Name | PIC INDIANA PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Street Address |
505 W CLEVELAND RD |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noel T Moore | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Erika Marin | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Anjanette Zielinski | Nurse Practitioner | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Deborah Sue Castile | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Joshua A Button | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Saminder Singh | Family Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Marcy L Adams | Nurse Practitioner | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Andrea D Beard | Nurse Practitioner | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Lona B Kile | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sheri A Wilson | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MISHAWAKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kenneth James Scott.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.