Provider Demographics
NPI:1902921174
Name:CATO, SCOTT MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MICHAEL
Last Name:CATO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 PALOMBA DR
Mailing Address - Street 2:# 5D
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3856
Mailing Address - Country:US
Mailing Address - Phone:860-741-2187
Mailing Address - Fax:860-741-2188
Practice Address - Street 1:76 PALOMBA DR
Practice Address - Street 2:# 5D
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3856
Practice Address - Country:US
Practice Address - Phone:860-741-2187
Practice Address - Fax:860-741-2188
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004243094Medicaid
CTP00271268OtherRAILROAD MEDICARE
CTCT15480OtherLANDMARK
CT659634OtherUHC, HNE, ACN ID#
CTCIGNAOther522418960
CT7127580OtherAETNA ID#
CT050001548CT01OtherANTHEM BCBS
CT105007OtherASHN
CT522418960OtherMULTIPLAN
CT9385151OtherPHCS
CTP3240793OtherOXFORD HEALTH PLANS ID#