Provider Demographics
NPI:1144213646
Name:EPSTEIN, SCOTT K (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:K
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MAPLE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1436
Mailing Address - Country:US
Mailing Address - Phone:702-531-0055
Mailing Address - Fax:570-253-7868
Practice Address - Street 1:600 MAPLE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1459
Practice Address - Country:US
Practice Address - Phone:570-253-1005
Practice Address - Fax:570-253-7868
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047523L2081P2900X, 208100000X, 204R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA144936OtherBLUE CARE
PA001479212-0001Medicaid
PA14233-1067OtherGEISINGER
PA534362OtherAETNA
PA1093735OtherAMERIHEALTH
PA250004789OtherRAILROAD MEDICARE
PA25-1645055OtherUNITEDHEALTH CARE
PA078708OtherBLUE CARE HMO (FPH)
PA25-1645055OtherUNITEDHEALTH CARE
PA001479212-0001Medicaid