Provider Demographics
NPI:1477675494
Name:FAUCETT, SCOTT C (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:FAUCETT
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 1:1015 18TH ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5217
Mailing Address - Country:US
Mailing Address - Phone:202-835-2222
Mailing Address - Fax:202-969-1798
Practice Address - Street 1:1015 18TH ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5217
Practice Address - Country:US
Practice Address - Phone:202-835-2222
Practice Address - Fax:202-969-1798
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14836207X00000X
MDD75814207X00000X
VA0101253885207X00000X
CO50876207XX0005X
DC041346207XX0005X
DCMD041346207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine