Provider Demographics
NPI:1609876747
Name:SCOTT, TATIANA N (MD)
Entity Type:Individual
Prefix:DR
First Name:TATIANA
Middle Name:N
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TATIANA
Other - Middle Name:N
Other - Last Name:SAPRYKINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:323 LOWELL ST
Mailing Address - Street 2:ANDOVER MEDICAL CENTER & EXPRESSCARE
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-4501
Mailing Address - Country:US
Mailing Address - Phone:978-783-5000
Mailing Address - Fax:978-313-8184
Practice Address - Street 1:323 LOWELL ST
Practice Address - Street 2:ANDOVER MEDICAL CENTER & EXPRESSCARE
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-4501
Practice Address - Country:US
Practice Address - Phone:978-783-5000
Practice Address - Fax:978-313-8184
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216435207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2008777Medicaid
MA7205446OtherAETNA
MA697817OtherHARVARD PILGRIM HEALTH CARE
MAJ26047OtherBLUE CROSS & BLUE SHIELD
MA000000026163OtherBMC
MA04-2945394OtherCONSOLIDATED
MA216435-7879OtherCONNECTICARE
MA9667788OtherCIGNA
MA04-2945394OtherMULTIPLAN
MA32635OtherHNE
MA04-2945394OtherGREST-WEST
MA2371688 02OtherUNITED HEALTH CARE
MA123187OtherFALLON
MA216435OtherTUFTS
MAA35163Medicare PIN
MAH81522Medicare UPIN