Provider Demographics
NPI:1275592941
Name:HONSEY, SCOTT ALAN (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALAN
Last Name:HONSEY
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 1:5700 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-1121
Mailing Address - Country:US
Mailing Address - Phone:515-274-3551
Mailing Address - Fax:515-274-3512
Practice Address - Street 1:5700 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1121
Practice Address - Country:US
Practice Address - Phone:515-274-3551
Practice Address - Fax:515-274-3512
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23078207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0012864Medicaid
IA1275592941Medicaid
IA52957Medicare PIN
IA080084397Medicare PIN
IA0012864Medicaid
IA719260246Medicare PIN