Provider Demographics
NPI:1568451623
Name:CURRIE, SCOT A (DO)
Entity Type:Individual
Prefix:
First Name:SCOT
Middle Name:A
Last Name:CURRIE
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 1:620 HOWARD AVE STE 3F
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4804
Mailing Address - Country:US
Mailing Address - Phone:814-889-7500
Mailing Address - Fax:814-889-7499
Practice Address - Street 1:620 HOWARD AVE STE 3F
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4804
Practice Address - Country:US
Practice Address - Phone:814-889-7500
Practice Address - Fax:814-889-7499
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010103L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H59373Medicare UPIN
057321NITMedicare ID - Type Unspecified