Provider Demographics
NPI:1033147491
Name:BABIN, SCOTT BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:BRIAN
Last Name:BABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E ADAMS ST
Mailing Address - Street 2:STE 4
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-1278
Mailing Address - Country:US
Mailing Address - Phone:502-222-3281
Mailing Address - Fax:502-225-5796
Practice Address - Street 1:120 E ADAMS ST
Practice Address - Street 2:STE 4
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-1278
Practice Address - Country:US
Practice Address - Phone:502-222-3281
Practice Address - Fax:502-225-5796
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY350692085R0202X, 2085B0100X, 2085U0001X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200494020Medicaid
KY64060460Medicaid
KY000000323908OtherBCBS
KY00195004Medicare PIN
KY000000323908OtherBCBS
KY0684426Medicare PIN
KYP00110820Medicare PIN
IN215510EMedicare ID - Type UnspecifiedPERRY CO.RAD.ASSOCIATES
KY0691706Medicare ID - Type UnspecifiedHARDIN CO.IMAGING
KY0913305Medicare ID - Type UnspecifiedPERRY CO. RAD.ASSOC
KY0735774Medicare PIN
H48986Medicare UPIN
KY0943802Medicare PIN
KY0943702Medicare PIN
KY0903604Medicare PIN
KY0518505Medicare ID - Type UnspecifiedSOUTH CENTRAL KY OPEN MRI
KY0691660Medicare PIN
KY64060460Medicaid
KY0716005Medicare ID - Type UnspecifiedCT & OPEN MRI LAGRANGE