Provider Demographics
NPI:1710960752
Name:PARIS, SCOT DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOT
Middle Name:DAVID
Last Name:PARIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1329 E HIGH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-4949
Mailing Address - Country:US
Mailing Address - Phone:610-326-8400
Mailing Address - Fax:610-323-8215
Practice Address - Street 1:1329 E HIGH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-4949
Practice Address - Country:US
Practice Address - Phone:610-326-8400
Practice Address - Fax:610-323-8215
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050115L208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6837310001Medicare NSC
591236Medicare ID - Type Unspecified
G40054Medicare UPIN