Provider Demographics
NPI:1487651139
Name:ORTH, SCOTT THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:THOMAS
Last Name:ORTH
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 1:1834 FOREST GATE CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6182
Mailing Address - Country:US
Mailing Address - Phone:281-207-4040
Mailing Address - Fax:281-207-4045
Practice Address - Street 1:1350 CREEK WAY DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3384
Practice Address - Country:US
Practice Address - Phone:281-207-4040
Practice Address - Fax:281-207-4045
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9905207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1357527-09Medicaid
TXC20074Medicare UPIN
TX8F23897Medicare PIN
TX8550B6Medicare PIN