Provider Demographics
NPI:1164425278
Name:HOWARD, SCOTT C (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:HOWARD
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:ST. JUDE CHILDREN'S RESEARCH HOSPITAL
Mailing Address - Street 2:262 DANNY THOMAS PLACE
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-2794
Mailing Address - Country:US
Mailing Address - Phone:901-595-2972
Mailing Address - Fax:901-595-2972
Practice Address - Street 1:ST. JUDE CHILDREN'S RESEARCH HOSPITAL
Practice Address - Street 2:262 DANNY THOMAS PLACE
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-2794
Practice Address - Country:US
Practice Address - Phone:901-595-2972
Practice Address - Fax:901-595-2972
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN272472080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00124280Medicaid
OK100030940AMedicaid
TN3098811Medicaid
VA6737331Medicaid
NC7612286Medicaid
AL009956570Medicaid
MT0149578Medicaid
WY1162691 00Medicaid
MO205354301Medicaid
TX171677101Medicaid
IN200329950AMedicaid
AR133656001Medicaid
ME422400000Medicaid
KS200003500AMedicaid
KY64032527Medicaid
IA0546226Medicaid
LA1182761Medicaid
MS00124280Medicaid