Provider Demographics
NPI:1063481422
Name:TREUTLEIN, SCOTT ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ALLAN
Last Name:TREUTLEIN
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 1:121 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1567
Mailing Address - Country:US
Mailing Address - Phone:585-786-8350
Mailing Address - Fax:585-786-8362
Practice Address - Street 1:121 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1567
Practice Address - Country:US
Practice Address - Phone:585-786-8350
Practice Address - Fax:585-786-8362
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231977-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000527749001OtherCOMMUNITY BLUE
NY20-1184455OtherAETNA/MAGNA CARE
NY20-1184455OtherNORTH AMERICAN/NOVA
NY02571002Medicaid
NY147181CKOtherPREFERRED CARE
NY000527749001OtherBC/BS OF WNY
NY0712575OtherINDEPENDENT HEALTH
NY20-1184455OtherUNITED HEALTHCARE/GHI
NY20-1184455OtherEMPIRE
NYP010231977OtherBC/BS - TRADITIONAL
NY00026848501OtherUNIVERA
NY20-1184455OtherTRICARE
NYP010231977OtherBLUE CHOICE
NYP010231977OtherEXCELLUS (ROCHESTER)
NY20-1184455OtherAETNA/MAGNA CARE
NYI12631Medicare UPIN
NYBA2747Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER