Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jack C. Scott, M.D.
Specialist in Fridley, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1619913050
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Registry record
Entity type Individual (Type 1)
Name Jack C. Scott
Credential M.D.
Sex Male
Practice address 7205 University Ave Ne, Fridley, MN, 55432
Phone (763) 571-4000
Fax (763) 571-7202
Enumeration date Jun 22, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870787100 | Medicaid | MN | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jack Scott?
Jack Scott is registered in NPPES with the primary taxonomy of Specialist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Roger Weenig Dermatology Physician · Fridley, MN NPI 1134108772 Jane Lisko Specialist · Fridley, MN NPI 1619910890 Soheil Pakzad Specialist · Fridley, MN NPI 1417991787 Ellen Rest Specialist · Fridley, MN NPI 1477598985 Susan Humphreys Specialist · Fridley, MN NPI 1679519094 Ann Mcginn Specialist · Fridley, MN NPI 1619913043 Jeffrey Squires Specialist · Fridley, MN NPI 1639115074 Steven Kempers Specialist · Fridley, MN NPI 1003852427
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.