Individual
JOHN SCOTT EMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
355 W 16TH ST STE 3200, INDIANAPOLIS, IN 46202-2280
(317) 948-5450
(317) 887-7664
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002029A
IN
363AM0700X
Medical Physician Assistant
8375969
UT
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005189
—
IN
01
—
P01824430
RR MEDICARE
IN
Enumeration date
08/14/2012
Last updated
02/13/2025
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