COLIN J SCOTT MD NPI 1003872359

Ophthalmology in Jacksonville, IL

About COLIN SCOTT

Colin Scott is a provider in Jacksonville, IL with more than 16 years of experience. The NPI number assigned to this provider is 1003872359. The practitioner's primary taxonomy code is Ophthalmology (207W00000X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Colin Scott is registered with Medicare and accepts claims assignment.

NPI1003872359 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name COLIN J SCOTT MD
Provider Location Address2000 W MORTON AVE JACKSONVILLE, IL 62650 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2020 W ILES AVE SPRINGFIELD, IL 62704 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameMEDICAL COLLEGE OF OHIO
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-25-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-13-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

COLIN J SCOTT MD
2000 W MORTON AVE
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-6814
Fax: (217) 245-0375
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Mailing Address

COLIN J SCOTT MD
2020 W ILES AVE
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 698-3030
Fax: (217) 698-4728

Primary Taxonomy

Taxonomy Code207W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.036134025
License StateIL
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyMD60294408WANo

Taxonomy Description: an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2207W00000XAllopathic & Osteopathic PhysiciansOphthalmology248001NYNo

Taxonomy Description: an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

32084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyMD60294408WANo

Taxonomy Description: a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

42084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology248001NYNo

Taxonomy Description: a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A300047882OTHER (01)

Map Location


COLIN J SCOTT MD address is 2000 W MORTON AVE JACKSONVILLE, IL 62650

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043380587 GARY L BODIFORD M.D.
Individual
Ophthalmology2000 W MORTON AVE
JACKSONVILLE, IL 62650
(217) 245-6814
1477694982DR. RODDY FRANKEL MD
Individual
Ophthalmology2000 W MORTON AVE
JACKSONVILLE, IL 62650
(217) 245-6814
1578766515PRAIRIE EYE CENTER, LTD
Organization
Ophthalmology2000 W MORTON AVE
JACKSONVILLE, IL 62650
(217) 245-6814
1619256013DR. ELIZABETH RENEE HEIDEMAN O.D.
Individual
Optometrist2000 W MORTON AVE
JACKSONVILLE, IL 62650
(217) 245-6814
1740282797DR. PAUL VICTOR KOWALSKI MD
Individual
Ophthalmology2000 W MORTON AVE
JACKSONVILLE, IL 62650
(217) 245-6814
1790715662 ERIC A GIEBELHAUSEN MD
Individual
Ophthalmology2000 W MORTON AVE
JACKSONVILLE, IL 62650
(217) 245-6814
1912975160DR. HAROLD JAY BRUNINGA M.D.
Individual
Ophthalmology2000 W MORTON AVE
JACKSONVILLE, IL 62650
(217) 245-6814