Provider Demographics
NPI:1962486605
Name:SCOTT, H. DENMAN (MD)
Entity Type:Individual
Prefix:
First Name:H. DENMAN
Middle Name:
Last Name:SCOTT
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 1:66 BENEFIT ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2742
Mailing Address - Country:US
Mailing Address - Phone:401-274-4505
Mailing Address - Fax:401-521-3974
Practice Address - Street 1:66 BENEFIT ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:401-274-4505
Practice Address - Fax:401-521-3974
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD 04021207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9025137Medicaid
RI007057423OtherMEDICARE PTAN
RI9025137Medicaid