National Provider Identifier

Randolph Patrick Scott, M.D., PHARM.D.

Randolph Patrick Scott, M.D., PHARM.D. is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Elmira, NY and a listed phone number of (607) 737-4130.

NPI 1124104138Elmira, NYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Profile Overview

NPI
1124104138
Provider Type
Individual
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Enumeration Date
October 31, 2006
Last Updated
November 30, 2020

Practice Location

  • 600 Roe Avenue, Suite 1A
  • Elmira, NY 14905-1629

Phone: (607) 737-4130

Mailing Address

  • 571 Saint Josephs Blvd
  • Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
Full Record
NPI
1124104138
Entity Type
Individual
Last Name
Scott
First Name
Randolph
Middle Name
Patrick
Name Prefix
Dr.
Credential
M.D., PHARM.D.
Mailing Street Address
571 Saint Josephs Blvd
Mailing Address Line 2
Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 271-2099
Practice Street Address
600 Roe Avenue, Suite 1A
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4130
Practice Fax
(607) 737-4530
Enumeration Date
October 31, 2006
Last Updated
November 30, 2020
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
November 30, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
Other Identifiers
02150434 (NY), 8142505 (NJ)