Provider Demographics
NPI:1366321283
Name:SCOTT, MADELINE SHEA (PA)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:SHEA
Last Name:SCOTT
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Gender:F
Credentials:PA
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Mailing Address - Street 1:3525 OLENTANGY RIVER RD STE 4330
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3937
Mailing Address - Country:US
Mailing Address - Phone:614-255-6900
Mailing Address - Fax:614-255-6937
Practice Address - Street 1:55 DILLMONT DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-6458
Practice Address - Country:US
Practice Address - Phone:614-255-6900
Practice Address - Fax:614-255-6901
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
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Provider Licenses
StateLicense IDTaxonomies
OH50.009540RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant