Individual
DR. DOUGLAS A SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N SAWYER RD, KENDALLVILLE, IN 46755-2568
(260) 347-8700
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01047183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024482
MPLAN
—
01
—
000000212873
ANTHEM
IN
05
—
104874660
—
MI
05
—
200345880
—
IN
05
—
2518618
—
OH
Enumeration date
09/14/2005
Last updated
06/26/2026
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