Provider Demographics
NPI:1932245990
Name:PURINTON, SCOTT CHRISTOPHER (MD, PHD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:CHRISTOPHER
Last Name:PURINTON
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-5671
Practice Address - Country:US
Practice Address - Phone:570-271-6298
Practice Address - Fax:570-271-5841
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD461474207VX0201X
GA065782207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003110827DMedicaid
GA003110827FMedicaid
GA003110827GMedicaid
GAP00964242OtherRAILROAD MEDICARE
SCP01049775OtherRAILROAD MEDICARE
SCP01140050OtherRAILROAD MEDICARE
GA003110827EMedicaid
GAP01099500OtherRAILROAD MEDICARE
GA003110827AMedicaid
SCGA1237Medicaid
GA003110827EMedicaid
GA003110827DMedicaid
SCGA1237Medicaid
SCAA87749141Medicare PIN