Individual
SCOTT DOUGLAS SHORTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 WABASH AVE, AKRON, OH 44307
(330) 344-2025
(330) 344-6418
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
(440) 716-8608
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35051934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028993
ANTHEM BLUE CROSS BLUE SHIELD
—
05
—
0782890
—
OH
Enumeration date
04/28/2006
Last updated
05/16/2018
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