SCOTT R. WITHERSPOON MD – NPI #1639203169
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

SCOTT WITHERSPOON is an ophthalmologist located in DALLAS, TX. NPPES has assigned the NPI number 1639203169 to SCOTT WITHERSPOON on March 15, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Jul 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SCOTT WITHERSPOON below.

NPI Profile for
SCOTT R. WITHERSPOON

NPI Number
1639203169
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SCOTT R. WITHERSPOON
Credentials
MD
Primary location
3414 OAK GROVE AVE
DALLAS, TX 75204-2375
Phone: (214) 521-1153 Fax: (214) 219-3651
3 Other location(s):
1010 E Interstate 20
Arlington, TX 76018-2107
Phone: (817) 417-7769
Fax: (817) 417-7405
3331 Unicorn Lake Blvd
Denton, TX 76210-0102
Phone: (940) 381-9100
Fax: (940) 381-9106
400 W Lyndon B Johnson Fwy Ste 320
Irving, TX 75063-3717
Phone: (972) 869-1242
Fax: (972) 869-2921
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jul 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)		 TX N2885
207W00000X
- Ophthalmology		 TX N2885

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2003
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SCOTT WITHERSPOON is affiliated with the following medical group(s):
  • HOSPITAL
    • BAYLOR SURGICAL HOSPITAL AT LAS COLINAS
      400 WEST LYNDON B JOHNSON SUITE 101B
      IRVING, TX 75063

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