Provider Demographics
NPI:1275820011
Name:SCOTT, ALESHA NICOLE (DO)
Entity Type:Individual
Prefix:
First Name:ALESHA
Middle Name:NICOLE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:740 S LIMESTONE K401
Mailing Address - Street 2:UK DEPARTMENT OF ORTHOPAEDIC SURGERY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-5533
Mailing Address - Fax:859-323-2412
Practice Address - Street 1:2300 S 16TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3704
Practice Address - Country:US
Practice Address - Phone:402-481-4167
Practice Address - Fax:402-481-5100
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101019201207X00000X
KY03989207XX0801X
NE1690207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY03989OtherMEDICAL LICENSE
NE10026464405Medicaid