MARY LYNN SCOVAZZO (NPI# 1497736961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497736961 |
| Entity Type | Individual |
| Full Name | MARY LYNN SCOVAZZO |
| Credential | M.D. |
| Practice Address |
875 Swift Blvd Richland WA 99352-3592 |
| Practice Telephone | 5099461654 |
| Practice Fax Number | 5099435652 |
| Mailing Telephone | 5099461654 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00041636 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1497736961 | 05 | |
| WA | STATE INDUSTRIAL | 162809 | 01 |
| WA | 8331241 | 05 |
| Street Address |
875 SWIFT BLVD |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720519887 | Leticia Leal | Physical Therapist | 875 Swift Blvd, Richland, WA 99352-3592 | 2017-03-21 |
| 1881125946 | Daniel Mccook | Physical Therapist | 875 Swift Blvd, Richland, WA 99352-3592 | 2017-03-21 |
| 1629519236 | Caitlyn Mccartney | Physical Therapist | 875 Swift Blvd, Richland, WA 99352 | 2017-03-15 |
| 1396284709 | Matthew Kent Porter | Physician Assistant | 875 Swift Blvd, Richland, WA 99352 | 2017-02-17 |
| 1467898577 | Ashley M Lineberry | Physical Therapist | 875 Swift Blvd, Richland, WA 99352 | 2013-05-15 |
| 1811274459 | Proliance Surgeons, Inc., P.s. | Family Medicine | 875 Swift Blvd, Richland, WA 99352-3592 | 2011-11-10 |
| 1518250554 | Timothy Robert Nickolaus | Physician Assistant | 875 Swift Blvd, Richland, WA 99352-3592 | 2011-05-24 |
| 1225327364 | Jason Ryan Dutton | Orthopaedic Surgery | 875 Swift Blvd, Richland, WA 99352 | 2011-03-29 |
| 1982900767 | Amy L Busfield | Physical Therapist | 875 Swift Blvd, Richland, WA 99352 | 2011-01-27 |
| 1114247418 | Keyna Carpenter | Physical Therapist | 875 Swift Blvd, Richland, WA 99352-3592 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366797037 | Chad Garth Williams | Orthopaedic Surgery | 875 Swift Blvd Ste A, Richland, WA 99352 | 2012-07-19 |
| 1407934896 | David John Gibbons | Orthopaedic Surgery | 1351 Fowler Street, Richland, WA 99352 | 2006-11-01 |
| 1518986884 | Walter J Hales | Orthopaedic Surgery | 821 Swift Boulevard, Richland, WA 99352-7623 | 2006-07-18 |
| 1588689392 | James R Hazel | Orthopaedic Surgery | 821 Swift Blvd, Richland, WA 99352-7623 | 2006-07-13 |
| 1548241029 | Gordon Henry Hsieh | Orthopaedic Surgery | 845 Swift Blvd, Richland, WA 99352 | 2005-11-10 |
| 1326481797 | Gregory L Scallon | Orthopaedic Surgery | 1351 Fowler St, Richland, WA 99352 | 2013-04-16 |
| 1740561745 | Tri-city Orthopaedic Clinic, Psc | Orthopaedic Surgery | 965 Goethals Dr, Richland, WA 99352-3527 | 2011-09-02 |
| 1851680664 | Association of Chmc and University Physicians | Orthopaedic Surgery | 969 Stevens Dr, Suite 1b, Richland, WA 99352-3525 | 2011-04-01 |
| 1225327364 | Jason Ryan Dutton | Orthopaedic Surgery | 875 Swift Blvd, Richland, WA 99352 | 2011-03-29 |
| 1164740403 | Jacob M Stanfield | Orthopaedic Surgery | 875 Swift Blvd, Richland, WA 99352-3592 | 2010-05-11 |
| Find all providers in RICHLAND | ||||
Please comment or provide details below to improve the information on MARY LYNN SCOVAZZO.
| 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.