Provider Demographics
NPI:1073585667
Name:SCOTT, JODI LYNN (MD)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1417 S. CLIFF AVE.
Practice Address - Street 2:STE. 401
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1064
Practice Address - Country:US
Practice Address - Phone:605-322-8920
Practice Address - Fax:605-322-8919
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD5435207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0704010OtherMEDICA
MN470T6SCOtherBLUE CROSS
SD57105M007OtherWPS TRICARE
IA70000OtherBLUE CROSS
SDAH9131041671OtherPREFERRED ONE
SDHP43310OtherHEALTHPARTNERS
SDP00356349OtherRR MEDICARE
IA0582411Medicaid
SD243951OtherMIDLANDS CHOICE
NE46022474316Medicaid
SD4995327OtherBLUE CROSS
SD36765OtherSANFORD HEALTH PLANS
MN579197900Medicaid
MN470T6SCOtherCC SYSTEMS/ BLUE PLUS
SD2156399OtherARAZ/ AMERICA'S PPO
SD5435OtherDAKOTACARE
SD6201340Medicaid
SD4995327OtherBLUE CROSS
MN579197900Medicaid