SCOTT DAVID JAY M.D. PH.D. NPI 1568572402

NPI Information

  • NPI: 1568572402
  • Provider Name: SCOTT DAVID JAY, M.D., PH.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 2428 KNOB CREEK ROAD
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 282-5054

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NPI Details

Scott David Jay, M.D., PH.D. is a cardiovascular disease internal medicine in Johnson City, TN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Scott David Jay, M.D., PH.D. NPI is 1568572402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2428 KNOB CREEK ROAD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 282-5054
Fax: (423) 282-0981

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/3/2014.

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
1207R00000XInternal Medicine2002017394MISSOURINo
2207RC0000XInternal MedicineCardiovascular Disease2002017394MISSOURINo
3207RC0000XInternal MedicineCardiovascular Disease45843TENNESSEEYes

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
1205889413MEDICAIDMISSOURI
2G31639MEDICARE UPINMISSOURI
3046010688MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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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