Provider Demographics
NPI:1801863162
Name:SAFFOLD, SCOTT HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:HARRIS
Last Name:SAFFOLD
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 1:36080 LANKFORD HWY
Mailing Address - Street 2:
Mailing Address - City:BELLE HAVEN
Mailing Address - State:VA
Mailing Address - Zip Code:23306-1100
Mailing Address - Country:US
Mailing Address - Phone:757-442-7040
Mailing Address - Fax:757-442-7080
Practice Address - Street 1:36080 LANKFORD HWY
Practice Address - Street 2:
Practice Address - City:BELLE HAVEN
Practice Address - State:VA
Practice Address - Zip Code:23306-1100
Practice Address - Country:US
Practice Address - Phone:757-442-7040
Practice Address - Fax:757-442-7080
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD188364OtherMARYLAND PROVIDER NUMBER
VA236033OtherANTHEM PROVIDER NUMBER
VA39811OtherSENTARA PROVIDER NUMBER
VA236033OtherANTHEM PROVIDER NUMBER