Provider Demographics
NPI:1366493421
Name:SCOTT, RONALD GERARD (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:GERARD
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 1:6629 MUIRFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6300
Mailing Address - Country:US
Mailing Address - Phone:877-626-2707
Mailing Address - Fax:214-224-0896
Practice Address - Street 1:5205 SOUTHERN HILLS DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6857
Practice Address - Country:US
Practice Address - Phone:972-333-4085
Practice Address - Fax:833-223-4085
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6011207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131156502Medicaid
0035BXMedicare PIN