Scott Stegall is a Medical in Tyler, Texas. Scott Stegall practices all healthcare services and medical treatments related to Medical. The NPI Number for Scott Stegall is 1356323034. The last update date is 2017-07-17.
Scott Stegall's current location address is 5414 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035811601 and fax number 9035811638. The mailing address for Scott Stegall is 5414 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Stegall |
|---|---|
| Address | 5414 S Broadway Ave, Tyler, Texas |
| Phone Number | 9035811601 |
| Fax Number | 9035811638 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356323034 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2017-07-17 |
Provider Mailing Address Detail
| Address | 5414 S Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757031335 |
| Phone Number | 9035811601 |
| Fax Number | 9035811638 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01268 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8854MB | TX | BCBS | |
| 8780MD | TX | BCBS | |
| 337197303 | TX | -- | |
| P01811994 | TX | RAIL ROAD MEDICARE | |
| P01811499 | TX | RAIL ROAD MEDICARE | |
| 337197302 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Scott Stegall by the Centers for Medicare & Medicaid Services?
The Scott Stegall has been assigned the NPI (National Provider Identifier) 1356323034 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Scott Stegall located?
The Scott Stegall is located at 5414 S Broadway Ave, Tyler, TX 757031335.
What is Scott Stegall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Scott Stegall is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did Scott Stegall receive its 1356323034 assignment from the Centers for Medicare & Medicaid Services?
The Scott Stegall was assigned its 1356323034 on 2005-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Scott Stegall most recently updated or revised?
The details related to Scott Stegall, including its address, specialty, and other relevant information, were last updated or revised on 2017-07-17.