Provider Demographics
NPI:1619915998
Name:ROWE, SCOTT C (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:C
Last Name:ROWE
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 1:401 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-4247
Mailing Address - Country:US
Mailing Address - Phone:701-253-5300
Mailing Address - Fax:701-253-5402
Practice Address - Street 1:401 3RD ST SE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-4247
Practice Address - Country:US
Practice Address - Phone:701-253-5300
Practice Address - Fax:701-253-5402
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4885207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND0106005OtherMEDICA #
ND142314OtherUCARE #
NDDA9061015624OtherPREFERRED ONE #
NDHP19578OtherHEALTHPARTNERS #
MN001768000Medicaid
ND080043594OtherRR #
ND15358OtherND MEDICARE #
ND0106004OtherMEDICA #
ND10957OtherSIOUX VALLEY #
ND91655ROOtherMN BS #
ND58D46ROOtherMNBS #
ND69D26ROOtherMNBS #
ND15023Medicaid
ND14523Medicaid
ND15358OtherNDBS #
ND0106003OtherMEDICA #
ND676684OtherAMERICA'S PPO/ARAZ #
NDND100024OtherLHS/BANNER HEALTH #
ND2066Medicare PIN
NDND100024OtherLHS/BANNER HEALTH #
ND0106004OtherMEDICA #