DR. CHARLES C SCOTT (NPI# 1871635730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871635730 |
| Entity Type | Individual |
| Full Name | DR. CHARLES C SCOTT |
| Credential | M.D. |
| Practice Address |
1905 W 19th St Mountain Grove MO 65711-1287 |
| Practice Telephone | 4179261770 |
| Practice Fax Number | 4179261785 |
| Mailing Telephone | 4179261770 |
| Mailing Fax Number | 4179261785 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28379 | MO | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 28379 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CLIA | 26D2006074 | 01 |
| MO | 1871635730 | 05 | |
| MO | MEDICARE - GROUP | MA2517 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013383629 | Charles Edward Scott II | Social Worker | 8 Moosehead Ln Apt 117, Dover Foxcroft, ME 04426-1402 | 2015-08-18 |
| 1285962027 | Charles W Scott IIi | Pharmacist | 111 Summers Grn, Georgetown, TX 78633-4376 | 2009-12-04 |
| 1063540110 | Charles Frederick Scott | Internal Medicine | 2812 Spring Rd Se, #200, Atlanta, GA 30339-3037 | 2007-03-01 |
| 1982739876 | Charles Barry Scott | Dentist | One Cochtaw Way, Talihina, OK 74571 | 2007-02-22 |
| 1215091244 | Charles Anthony Scott | Chiropractor | 1516 N Grandview Ave, Odessa, TX 79761-3029 | 2006-12-21 |
| 1972687820 | Charles W Scott | Marriage & Family Therapist | 17195 Newhope St, Ste 210, Fountain Valley, CA 92708 | 2006-10-25 |
| 1215968094 | Charles Winfield Scott | Podiatrist | 6 Germantown Rd, Danbury, CT 06810-5005 | 2006-07-06 |
| 1659310936 | Charles R Scott Jr. | Nurse Anesthetist, Certified Registered | 305 Overlook Ln, Conshohocken, PA 19428-2645 | 2006-06-05 |
| 1225644677 | Charles Scott | Counselor | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2020-09-21 |
| 1427528132 | Charles Scott | Behavior Technician | 2110 E Flamingo Rd Ste 150, Las Vegas, NV 89119-5190 | 2018-11-26 |
| Street Address |
1905 W 19TH ST |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580241 | Jose A Atiles | Family Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2005-09-30 |
| 1467822650 | Sara Openshaw | Nurse Practitioner | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2015-09-30 |
| 1649434200 | Jessica Renee King | Family Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2008-07-14 |
| 1629142476 | Elton W. Hoerning | Family Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2006-11-20 |
| 1568543155 | Sheri L Stofer | Internal Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2006-10-18 |
| 1336233584 | Stanley J Crown | Family Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| Find all providers in zip 65711 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891214003 | Lester E Cox Medical Centers | Family Medicine | 1602 N Main St Ste A, Mountain Grove, MO 65711-1010 | 2017-09-19 |
| 1467549865 | Jennifer L Lambert | Family Medicine | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2006-10-06 |
| 1871539023 | Lester E Cox Medical Centers | Family Medicine | 1602a N Main St, Mountain Grove, MO 65711-1010 | 2006-06-22 |
| 1871580241 | Jose A Atiles | Family Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2005-09-30 |
| 1649434200 | Jessica Renee King | Family Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2008-07-14 |
| 1639344237 | Ozark Family Health Care Inc | Family Medicine | 405 N Main St, Mountain Grove, MO 65711-1656 | 2008-04-24 |
| 1780859694 | Lester E Cox Medical Centers | Family Medicine | 1602 N Main St, Ste A, Mountain Grove, MO 65711-1010 | 2008-04-23 |
| 1457480188 | Mercy Clinic Springfield Communities | Family Medicine | 120 W 16th St, Mountain Grove, MO 65711 | 2007-03-06 |
| 1629142476 | Elton W. Hoerning | Family Medicine | 1905 W 19th St, Mountain Grove, MO 65711-1287 | 2006-11-20 |
| 1871667618 | David O. Barbe | Family Medicine | 120 W 16th St, Mountain Grove, MO 65711-1039 | 2006-11-20 |
| Find all providers in MOUNTAIN GROVE | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
Please comment or provide details below to improve the information on DR. CHARLES C SCOTT.
| 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.