Provider Demographics
NPI:1710987748
Name:BARON, SCOTT LINCOLN (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:LINCOLN
Last Name:BARON
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 1:800 PLAZA DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4019
Mailing Address - Country:US
Mailing Address - Phone:724-379-5816
Mailing Address - Fax:724-379-5874
Practice Address - Street 1:800 PLAZA DR
Practice Address - Street 2:SUITE 240
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-4019
Practice Address - Country:US
Practice Address - Phone:724-379-5816
Practice Address - Fax:724-379-5874
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028488E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008987520003Medicaid
PA0008987520003Medicaid
C33917Medicare UPIN