Provider Demographics
NPI:1255323812
Name:SCOTT, BILL E (MD)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:E
Last Name:SCOTT
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 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2827
Mailing Address - Fax:319-353-6050
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2827
Practice Address - Fax:319-353-6050
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17133207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA06657OtherWELLMARK BC/BS
IA0066571Medicaid
IAI0923260Medicare PIN
IA06657Medicare PIN
IA180009252Medicare PIN
A00856Medicare UPIN