SCOTT LAYLE CARBAUGH (NPI# 1669582722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669582722 |
| Entity Type | Individual |
| Full Name | SCOTT LAYLE CARBAUGH |
| Credential | PA-C |
| Practice Address |
4102 Pinion Dirve Usaf Academy CO 80840 |
| Mailing Address |
8851 Wolf Lake Dr Colorado Springs CO 80920-5467 |
| Practice Telephone | 7193335973 |
| Mailing Telephone | 7192826656 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4102 PINION DIRVE |
| City | USAF ACADEMY |
| State | CO |
| Zip Code | 80840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1346250859 | Linda Marie Case | Neuromusculoskeletal Medicine & OMM | 2355 Faculty Drive, Suite 1n207 Cadet Flight Medicine Clinic - 10th Amds, Usafa, CO 80840 | 2006-08-08 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1073083002 | Amanda Jo Mendo | Physician Assistant | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2018-12-03 |
| 1831671262 | Alexander Ortiz | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-09-01 |
| 1477055572 | Keeley Katrein | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-03-05 |
| 1659659225 | Jason Lee Haugen | Physician Assistant | 4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840-2502 | 2011-07-29 |
| 1750546289 | Douglas John Bird | Physician Assistant | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2008-07-24 |
| 1316086630 | Johnny Elbert Davis Jr. | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2007-02-05 |
| 1801821889 | Michael Thompson | Physician Assistant | 10th Medical Group, 4102 Pinion Drive, Usaf Academy, CO 80840 | 2006-07-11 |
| 1700864808 | Christina Hwang Hays | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2006-01-09 |
| 1497730113 | Matthew G Adkins | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840 | 2005-12-15 |
| Find all providers in USAF ACADEMY | ||||
| City | USAF ACADEMY |
| Zip Code | 80840 |
Please comment or provide details below to improve the information on SCOTT LAYLE CARBAUGH.
| 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.