Provider Demographics
NPI:1093777526
Name:SCOTT, CAROLYN SIMPSON (MD)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:SIMPSON
Last Name:SCOTT
Suffix:
Gender:F
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:PO BOX 1754
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-1754
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1575 POND RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2254
Practice Address - Country:US
Practice Address - Phone:610-398-7848
Practice Address - Fax:610-398-2220
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050039L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0726484000OtherINDEPENDENCE BLUE CROSS
PA50063719OtherKEYSTONE CENTRAL
PA0726484000OtherAMERIHEALTH
PA205703873OtherVALLEY PREFERRED
PA205703873OtherHEALTH AMERICA
PA50063719OtherCAPITAL BLUE CROSS
PAD24804OtherAMERIHEALTH ADMINISTRATOR
PA1423606OtherAETNA
PA205703873OtherGEISINGER
PA424804OtherHIGHMARK BLUE SHIELD
PA205703873OtherGEISINGER