Provider Demographics
NPI:1003138892
Name:SCOTT, JONI CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:JONI
Middle Name:CAROL
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2445 S FARM ROAD 219
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-8835
Mailing Address - Country:US
Mailing Address - Phone:417-889-2272
Mailing Address - Fax:417-889-1013
Practice Address - Street 1:2445 S FARM ROAD 219
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65742-8835
Practice Address - Country:US
Practice Address - Phone:417-889-2272
Practice Address - Fax:417-889-1013
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR1P31208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery