Provider Demographics
NPI:1326018946
Name:STANDARD, SCOTT C (MD)
Entity Type:Individual
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First Name:SCOTT
Middle Name:C
Last Name:STANDARD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:501 GREAT CIRCLE RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1317
Mailing Address - Country:US
Mailing Address - Phone:615-327-9543
Mailing Address - Fax:615-341-7583
Practice Address - Street 1:2011 MURPHY AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2023
Practice Address - Country:US
Practice Address - Phone:615-327-9543
Practice Address - Fax:615-341-7583
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2017-02-17
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Provider Licenses
StateLicense IDTaxonomies
TN28196207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG28840Medicare UPIN
TX3801261Medicare PIN