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DR. RANDOLPH PATRICK SCOTT M.D., PHARM.D.
NPI 1124104138
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Elmira, NY

Active since October 31, 2006
600 ROE AVENUE, SUITE 1A, ELMIRA, NY 14905(607) 737-4130(607) 737-4530 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 30, 2020, Nov 19, 2018 (2 updates tracked since 2018).

About Dr. Randolph Patrick Scott M.d., Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDOLPH PATRICK SCOTT M.D., PHARM.D. (NPI 1124104138) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Elmira, New York, licensed in New York (198637) and active in the NPI registry since October 2006. He maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1124104138
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. RANDOLPH PATRICK SCOTTCredential: M.D., PHARM.D.
Location Address600 ROE AVENUE, SUITE 1AElmira, NY 14905-1629
Mailing Address571 Saint Josephs Blvd, Fl 2Elmira, NY 14901-3230 · (607) 271-2050 · Fax (607) 271-2099
Phone(607) 737-4130
Fax(607) 737-4530
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1124104138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NY · 198637✔ Licensed in NJ · 25MA06186400
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

600 ROE AVENUE, SUITE 1A, Elmira, NY 14905
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Secondary Practice Location 1

Location 180 James St Fl 4, Solaris Thoracic Surgery - JFK Medical CenterEdison, NJ 08820-3938 · Phone (732) 632-1571

Other Identifiers 2

Medicaid02150434NY
Medicaid8142505NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENT MARTIN STEPHENSON MD
Internal Medicine (Clinical Cardiac Electrophysiology)
600 ROE AVENUE, SUITE 1A
ELMIRA, NY 14905
Chemung County (607) 737-4130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Scott's NPI number?

The NPI number for Randolph Scott is 1124104138. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Randolph Scott located?

Randolph Scott practices at 600 Roe Avenue, Suite 1A, Elmira, NY 14905. The listed phone number is (607) 737-4130.

What is Randolph Scott's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Randolph Scott was last updated on November 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.