Provider Demographics
NPI:1376560714
Name:DARLING, SCOTT LOREN (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:LOREN
Last Name:DARLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64069-0177
Mailing Address - Country:US
Mailing Address - Phone:816-792-3400
Mailing Address - Fax:816-792-4481
Practice Address - Street 1:556 RUSH CREEK PKWY
Practice Address - Street 2:STE B
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-9605
Practice Address - Country:US
Practice Address - Phone:816-792-3400
Practice Address - Fax:816-792-4481
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8P52207N00000X, 2083S0010X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO25993034OtherBCBS KANSAS CITY MO
F38485Medicare UPIN
MON630535Medicare ID - Type Unspecified