MR. GREGORY JAMES SCOTT (NPI# 1487677910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487677910 |
| Entity Type | Individual |
| Full Name | MR. GREGORY JAMES SCOTT |
| Credential | PAC |
| Practice Address |
9601 Townline Rd Minocqua WI 54548-1390 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7153581000 |
| Practice Fax Number | 7153581490 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0309 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2097-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528692746 | Gregory Scott | Behavioral Analyst | 4111 Se 15th Ave, Portland, OR 97202-3925 | 2020-02-26 |
| 1871053280 | Gregory Scott | Nurse Practitioner | 2017 Elizabeth Ct, Sanford, FL 32771-4513 | 2019-03-21 |
| 1437540259 | Gregory Scott | Pharmacist | 3520 N Armstrong St, Wichita, KS 67204-4347 | 2015-02-16 |
| 1730486242 | Gregory Cowen Scott | Physical Therapist | 450 Fieldstone Dr, Burlington, NC 27215-4641 | 2011-02-17 |
| 1184942724 | Gregory Lee Scott | Physical Therapy Assistant | 55100 Armstrong Rd, Battle Creek, MI 49037-7314 | 2010-05-06 |
| 1932398849 | Gregory Charles Scott | Social Worker | 525 Jennings Dr, Wilmington, NC 28403-2776 | 2007-10-16 |
| 1063632214 | Gregory P Scott | Dentist | 5110 S Lakeland Dr, Lakeland, FL 33813-2500 | 2007-04-30 |
| 1053535765 | Gregory Jay Scott | Hearing Instrument Specialist | 426 Alamo Heights Blvd, San Antonio, TX 78209-4504 | 2007-04-12 |
| 1316909310 | Gregory Brian Scott | Family Medicine | 417 Se 164th Ave Ste 300, Vancouver, WA 98684-8944 | 2006-04-05 |
| 1568802379 | Gregory D Scott | Pathology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-06-26 |
| Street Address |
9601 TOWNLINE RD |
| City | MINOCQUA |
| State | WI |
| Zip Code | 54548-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721041 | Deno N. Karegeannes | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2005-09-26 |
| 1750934493 | Mchs Hospitals, Inc. | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2019-07-22 |
| 1508351099 | Lauren Erica Treml | Optometrist | 9601 Townline Rd, Minocqua, WI 54548 | 2018-06-27 |
| 1003313230 | Colleen Ann Mueller | Nurse Practitioner | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2018-04-13 |
| 1205355351 | Sami Ahmed | Family Medicine | 9601 Townline Rd, Minocqua, WI 54548 | 2017-09-10 |
| 1699136085 | Peter Thomas Keenan | Clinical Neuropsychologist | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2016-03-11 |
| 1568820199 | Alexa Boersen | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2016-02-10 |
| 1881063329 | Marshfield Clinic Inc | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-09-15 |
| 1184009466 | Patti Ann Brown | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-07-28 |
| 1174916720 | David Fay Lee | Radiology | 9601 Townline Rd, Minocqua, WI 54548 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1922665637 | Ben Lonsdorf | Dentist | 9547 Lakeview Drive #200, Minocqua, WI 54548 | 2019-05-29 |
| 1396194460 | Samantha M Jeffery | Dentist | 5222 Us-51 N, Mercer, WI 54548 | 2016-06-08 |
| 1144608068 | Laura Gifford | Registered Nurse | 9845 Wintergreen Drive, Minocqua, WI 54548 | 2015-05-12 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1609136936 | Joseph M Pilarski | Chiropractor | 9792 Wi-70, Minocqua, WI 54548 | 2012-05-21 |
| 1225307242 | Minocqua Optical | Eyewear Supplier (Equipment, not the service) | 419 Chippewa St, Minocqua, WI 54548 | 2011-12-20 |
| 1073849840 | Frederick Alfred Melms Jr. | Family Medicine | 7380 Timber Lane, Minocqua, WI 54548 | 2009-10-28 |
| 1588820542 | Nicholas Bodmer | Radiology | 9576 Wi-70, Minocqua, WI 54548 | 2008-07-30 |
| 1063694545 | Gina M White | Counselor | 102 Front Street, Minocqua, WI 54548 | 2007-11-27 |
| Find all providers in zip 54548 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902067804 | Rebecca Rae Popp | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612045 | Cassidy Renee Thomas | Physician Assistant | 1111 Delafield St Ste 209, Waukesha, WI 53188-3403 | 2020-06-03 |
| 1982056768 | Luke Harbers | Physician Assistant | 6226 Bankers Rd Ste 11, Mount Pleasant, WI 53403-9799 | 2016-07-06 |
| 1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
| 1346577954 | Darren Rosser | Physician Assistant | 2931 S 108th St, West Allis, WI 53227-3519 | 2009-11-03 |
| 1033359401 | Matthew S. Bay | Physician Assistant | 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911-3496 | 2009-02-25 |
| 1265657068 | Surgical and Rehab Services Inc | Physician Assistant | E4051 Steven Way, Spring Green, WI 53588-9271 | 2007-04-16 |
| 1992844385 | Jill Ann Schumacher | Physician Assistant | 2265 90th St, Eau Claire, WI 54703-0181 | 2007-02-05 |
| 1609915073 | Brian Felix Robinson | Physician Assistant | S725 Turner Valley Rd, Mondovi, WI 54755-8331 | 2007-02-05 |
| 1124176383 | William Henry Price | Physician Assistant | 4819 5th Ave, Unit 2, Kenosha, WI 53140-2924 | 2007-01-06 |
| 1619032919 | Michael R Depew | Physician Assistant | 1650 S. 41st St., Lakeshore Orthopedics, Manitowoc, WI 54220 | 2006-12-27 |
| Find all providers with the same taxonomy | ||||
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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.