Provider Demographics
NPI:1114988748
Name:HERBERT, SCOTT H (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:H
Last Name:HERBERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 13700-1132
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19191-0001
Mailing Address - Country:US
Mailing Address - Phone:888-425-4497
Mailing Address - Fax:302-733-0854
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:DEPT OF RADIATION ONCOLOGY
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-2800
Practice Address - Fax:215-481-6741
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2019-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042045E2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
920000680OtherRAILROAD MEDICARE
PAHE0000542624OtherHIGHMARK BLUE SHIELD
PA0116803000OtherPERSONAL CHOICE
35582OtherAETNA HEALTH PLAN
PA001244664Medicaid
PA0116803000OtherKEYSTONE HEALTH PLAN EAST
PA1032219OtherKEYSTONE MERCY HEALTH PLA
35582OtherAETNA HEALTH PLAN
920000680OtherRAILROAD MEDICARE