Provider Demographics
NPI:1164456778
Name:SCOTT, SHARON LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LEE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-741-8003
Mailing Address - Fax:717-461-7404
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 140
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-741-8003
Practice Address - Fax:717-461-7404
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055370L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01061602OtherCAPITAL BLUE CROSS-WMG
PA786096OtherHIGHMARK BLUE SHIELD
PAP002848OtherGATEWAY-WMG
PA5014061OtherAETNA
PA001540563Medicaid
PA30062OtherJOHNS HOPKINS
MD543020OtherCAREFIRST MD BCBS
PA233276OtherMAMSI-WMG
PA36906OtherGEISINGER
PA81784OtherUNISON-WMG
PA0811224000OtherAMERIHEALTH 65 PA
PA1142284OtherAMERIHEALTH MERCY-WMG
PA36906OtherGEISINGER
MD543020OtherCAREFIRST MD BCBS
PA110114836Medicare PIN