Provider Demographics
NPI:1700172616
Name:LADWIG-SCOTT, EVE ANNE (MD)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:ANNE
Last Name:LADWIG-SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 DOMINICAN WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065
Mailing Address - Country:US
Mailing Address - Phone:831-479-4966
Mailing Address - Fax:831-479-4967
Practice Address - Street 1:1779 DOMINICAN WAY
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065
Practice Address - Country:US
Practice Address - Phone:831-479-4966
Practice Address - Fax:831-479-4967
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123582207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology