Provider Demographics
NPI:1952577447
Name:SCOTT, FREDERICK DONALD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:DONALD
Last Name:SCOTT
Suffix:JR
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 1:8255 GREENSBORO DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4918
Mailing Address - Country:US
Mailing Address - Phone:571-425-5393
Mailing Address - Fax:
Practice Address - Street 1:8255 GREENSBORO DR STE 150
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4918
Practice Address - Country:US
Practice Address - Phone:571-425-5393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08350200207X00000X
VA0101252096207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
383462Medicare PIN
VA538695Medicare PIN