Provider Demographics
NPI:1427129915
Name:EMERY, SCOTT (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:EMERY
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 1:1200 HILYARD ST STE S420
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8160
Mailing Address - Country:US
Mailing Address - Phone:541-686-2837
Mailing Address - Fax:541-687-0256
Practice Address - Street 1:1200 HILYARD ST STE S420
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8160
Practice Address - Country:US
Practice Address - Phone:541-686-2837
Practice Address - Fax:541-687-0256
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD267882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR005968Medicaid
ORP00378350OtherRAILROAD MEDICARE
OR005968Medicaid
ORC96868Medicare UPIN