Individual
SCOTT J FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2203
(701) 234-2899
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2203
(701) 234-2899
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5962
ND
225400000X
Rehabilitation Practitioner
H9633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H04C
BC/BS OF TEXAS
TX
05
—
033687701
—
TX
01
—
123880501
METHODIST CARE
TX
05
—
14695
—
ND
01
—
208100000X
PMR, SPECIALTY CODE
TX
01
—
250003082
RR MEDICARE
TX
01
—
377226600
W/C
TX
01
—
4511475
AETNA
TX
01
—
541659
USA MANAGED CARE ORG
TX
01
—
54349
HMO BLUE STAR PLUS
TX
01
—
6800563003
CIGNA
TX
01
—
760420564
TAX ID
TX
01
—
813691
CIGNA
TX
01
—
979392
FOCUS
TX
Enumeration date
06/30/2005
Last updated
01/18/2012
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