SCOTT E. MIMMS M.D. – NPI #1104084326
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

SCOTT MIMMS is a surgeon located in CRAWFORDSVILLE, IN. NPPES has assigned the NPI number 1104084326 to SCOTT MIMMS on May 23, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 5 years ago on Mar 15, 2021. 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 MIMMS below.

NPI Profile for
SCOTT E. MIMMS

NPI Number
1104084326
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SCOTT E. MIMMS
Credentials
M.D.
Primary location
1704 LAFAYETTE RD STE 5
CRAWFORDSVILLE, IN 47933
Phone: (765) 361-3011 Fax: (765) 362-5540
1 Other location(s):
7250 Clearvista Drive
Suite 100
Indianapolis, IN 46256-4640
Phone: (317) 621-5673
Fax: (317) 621-6040
Mailing address
PO BOX 781076
DETROIT, MI 48278-1076
Phone: (317) 528-4800 Fax: (317) 865-1479
Sole Proprietor
Yes
Updated
Certification Date
Mar 15, 2021

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.

Identifiers

Identifiers for SCOTT MIMMS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEMIN000000781470
MEDICAIDIN200986830
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
208600000X
- Surgery (Primary)
IN 01068514A

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1704 LAFAYETTE RD STE 5,
CRAWFORDSVILLE, IN 77025-1669