Provider Demographics
NPI:1942299656
Name:SCOTT, RAYANN N (PA)
Entity Type:Individual
Prefix:MS
First Name:RAYANN
Middle Name:N
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:RAYANN
Other - Middle Name:N
Other - Last Name:GERKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:7950 ORTHO LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-9354
Mailing Address - Country:US
Mailing Address - Phone:317-268-3600
Mailing Address - Fax:317-268-3399
Practice Address - Street 1:7950 ORTHO LN
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-9354
Practice Address - Country:US
Practice Address - Phone:317-268-3600
Practice Address - Fax:317-268-3399
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10001073A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000741772OtherANTHEM
INM400059774Medicare PIN