SCOTT GREGORY BEARDEN (NPI# 1164509881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164509881 |
| Entity Type | Individual |
| Full Name | SCOTT GREGORY BEARDEN |
| Credential | PA-C |
| Practice Address |
901 W 15th St Plano TX 75075-5134 |
| Practice Telephone | 4694430275 |
| Practice Fax Number | 4694430685 |
| Mailing Telephone | 4694430275 |
| Mailing Fax Number | 4694430685 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01612 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
841 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75075-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210635 | Kristina Johnson | Physician Assistant | 901 W 15th St, Plano, TX 75075-5134 | 2018-03-27 |
| 1184036899 | Plano Urgent Care LLC | Clinic/Center | 901 W 15th St, Plano, TX 75075-5134 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083264766 | Sarah Chong Kim | Physician Assistant | 3212 Saint Ives Ct, Plano, TX 75075-3430 | 2019-09-16 |
| 1396260147 | Mark Ali Bahreini | Physician Assistant | 6928 Amethyst Ln, Plano, TX 75023-1938 | 2017-08-12 |
| 1174997704 | Sydney Marie Kromer | Physician Assistant | 1713 Endicott Dr, Plano, TX 75025-3057 | 2015-11-19 |
| 1275946295 | Naveeda Farooqi | Physician Assistant | 9600 Coit Rd Apt 922, Plano, TX 75025-8226 | 2014-06-06 |
| 1134468036 | Elizabeth Ann Munse | Physician Assistant | 3504 Lakebrook Dr, Plano, TX 75093-7520 | 2013-02-12 |
| 1679731350 | Brittany Dawn Epstein | Physician Assistant | 4001 W 15th St Ste 245, Plano, TX 75093-5839 | 2008-05-29 |
| 1902951296 | Barbara Lynn Jacinto | Physician Assistant | 3900 American Dr Ste 203, Plano, TX 75075-6190 | 2007-01-24 |
| 1285641068 | Heidi Beth Cook | Physician Assistant | 5425 W Spring Creek Pkwy Ste 265, Plano, TX 75024-4344 | 2006-08-02 |
| 1598790917 | Kathy Johnson | Physician Assistant | 6124 W Parker Rd Ste 330, Plano, TX 75093-8125 | 2006-07-12 |
| 1639133267 | Christina Hope Thibodeaux | Physician Assistant | 5509 Pleasant Valley Dr, Suite 60, Plano, TX 75023-5248 | 2006-04-12 |
| Find all providers in PLANO | ||||
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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.