Provider Demographics
NPI:1275572497
Name:SCOTT, JOY G (MD)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:G
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 1:100 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:WILMORE
Mailing Address - State:KY
Mailing Address - Zip Code:40390-9775
Mailing Address - Country:US
Mailing Address - Phone:859-858-1327
Mailing Address - Fax:
Practice Address - Street 1:100 VETERANS DR
Practice Address - Street 2:
Practice Address - City:WILMORE
Practice Address - State:KY
Practice Address - Zip Code:40390-9775
Practice Address - Country:US
Practice Address - Phone:859-858-1327
Practice Address - Fax:859-858-3717
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38938207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000360648OtherBCBS HHC
7174631OtherAETNA HHC
1223654OtherCHA HHC
KY64096191Medicaid
000000493334OtherBCBS APC
KY0912221Medicare ID - Type UnspecifiedHHC
000000360648OtherBCBS HHC
KY0914306Medicare ID - Type UnspecifiedLPC