# SCOTT INTEGRATED PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801368824
- **Authorized official:** DR. THOMAS HYDE SCOTT MD (OWNER)
- **Authorized official phone:** (215) 825-5979

## Contact information

- **Practice address:** 3300 HENRY AVE STE 112, PHILADELPHIA, PA 19129-1146
- **Practice address phone:** (215) 825-5979
- **Practice address fax:** (866) 893-6393
- **Mailing address:** 3300 HENRY AVE STE 112, PHILADELPHIA, PA 19129-1146
- **Mailing address phone:** (215) 825-5989
- **Mailing address fax:** (866) 893-6393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/02/2019
- **Last updated:** 04/26/2024