Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Walter Scott, MD

Individual provider Anesthesiology Physician · NPI 1225251820

Dr. Ethan Walter Scott, MD is an Anesthesiology in Farmington, New Mexico. Graduated from University of Alabama School of Dentistry in 2005, 21 years ago. Practices with San Juan Regional Medical Center, Inc, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
21
Trained at
University of Alabama School of Dentistry
Licensed in
ID
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 W Maple St
Farmington, NM 87401-5630
Phone: (505) 609-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 — (210) 916-8499

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence M-9833 (ID)

Record details

NPI number1225251820
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address5775 Paseo Del Rancho, Farmington, NM 87402-3082

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Graduated 2005 (21 years in practice)
Group practice San Juan Regional Medical Center, Inc. — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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