SCOTT M BOUTON MD NPI 1811044167

NPI Information

NPI: 1811044167
Provider Name: SCOTT M BOUTON, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
11000 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (440) 684-5829
Get Directions

Scott M Bouton, MD is a pediatric emergency medicine pediatrics in Cleveland, OH. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Scott M Bouton, MD NPI is 1811044167. 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:

11000 EUCLID AVE
CLEVELAND, OH
ZIP 44106-714
Phone: (440) 684-5829
Fax: (440) 449-1555

The NPI 1811044167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 5/20/2008.

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
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	35-084734	OHIO	Yes

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
1	2502410	MEDICAID	OHIO
2	7288591	OTHER	OHIO	AETNA
3	P00412306	OTHER	OHIO	RAILROAD MEDICARE
4	I17576	MEDICARE UPIN	OHIO
5	BO4143671	MEDICARE ID-TYPE UNSPECIFIED	OHIO
6	BO4143675	MEDICARE PIN	OHIO
7	000000337118	OTHER	OHIO	ANTHEM
8	2502410	OTHER	OHIO	BCMH
9	363374	OTHER	OHIO	WELLCARE
10	732324	OTHER	OHIO	BUCKEYE
11	1011138340001	OTHER	PENNSYLVANIA	PA MEDICAID
12	000000221061	OTHER	OHIO	UNISON

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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