SCOTT W. NUTTER DPM PA NPI 1376506345

NPI Information

  • NPI: 1376506345
  • Provider Name: SCOTT W. NUTTER, DPM, PA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Former Legal Business Name: LAUREL LAKES FOOT AND ANKLE CENTER
  • Address: 13950 BALTIMORE AVE
    LAUREL, MD
    ZIP 20707
  • Phone: (301) 317-6800

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NPI Details

SCOTT W. NUTTER, DPM, PA is a foot and ankle surgery podiatrist in Laurel, MD. SCOTT W. NUTTER, DPM, PA NPI is 1376506345. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Laurel Lakes Foot And Ankle Center.

The provider's business location address is:

13950 BALTIMORE AVE
LAUREL, MD
ZIP 20707-000
Phone: (301) 317-6800
Fax: (301) 317-4183

The provider's authorized official is Scott W Nutter .
The authorized official title is President and has the following contact phone number (301) 317-6800.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 4/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryP14048MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G00007MEDICARE PINDISTRICT OF COLUMBIA
20892190001MEDICARE NSCMARYLAND
3480006885MEDICARE PINMARYLAND
4100MMEDICARE PINMARYLAND
5100M988EMEDICARE PINMARYLAND
6000A30507MEDICARE PINMARYLAND
7T30895MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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