DR. SCOTT EDWARD MIMMS M.D.
NPI 1104084326
Surgery in Crawfordsville, IN

Active since May 23, 2008
1704 LAFAYETTE RD STE 5, CRAWFORDSVILLE, IN 47933(765) 361-3011(765) 362-5540 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 15, 2021, Apr 16, 2019 (2 updates tracked since 2019).

  • Individual
  • Male
  • Surgery

About SCOTT MIMMS

This page provides the complete NPI Profile along with additional information for Scott Mimms, a provider established in Crawfordsville, Indiana with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1104084326 assigned on May 2008. The practitioner's primary taxonomy code is 208600000X with license number 01068514A (IN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1104084326 Verify this NPI
Provider Name
DR. SCOTT EDWARD MIMMS M.D.
Gender
Male
Entity Type
Individual
Location Address
1704 LAFAYETTE RD STE 5 CRAWFORDSVILLE, IN 47933
Location Phone
(765) 361-3011
Location Fax
(765) 362-5540
Mailing Address
PO BOX 781076 DETROIT, MI 48278
Mailing Phone
(317) 528-4800
Mailing Fax
(317) 865-1479
Is Sole Proprietor?
Yes
Enumeration Date
05-23-2008
Last Update Date
03-15-2021
Code Navigator

A surgeon like Scott Mimms treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Secondary Locations

  • 7250 Clearvista Drive Suite 100
    Indianapolis, IN 46256
    (317) 621-5673
  • 7250 Clearvista Drive Suite 100
    Indianapolis, IN 46256
    (317) 621-5673

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
01068514A
License State
IN
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200986830MEDICAID (05)IN 
000000781470OTHER (01)INANTHEM

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Surgery
1704 LAFAYETTE RD STE 5
CRAWFORDSVILLE, IN 47933
Surgery
1704 LAFAYETTE RD STE 5
CRAWFORDSVILLE, IN 47933

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104084326, enumerated as an "individual" on May 23, 2008.

The provider is located at 1704 LAFAYETTE RD STE 5 CRAWFORDSVILLE, IN 47933 and the phone number is (765) 361-3011.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.