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

Dr. Scott Edward Wavinak, DO

Individual provider Family Medicine Physician · NPI 1063831733

Dr. Scott Edward Wavinak, DO is a Family Practice in Prior Lake, Minnesota. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2014, 12 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4151 Willowwood St SE
Prior Lake, MN 55372-4304
Phone: (952) 226-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 701 Park Avenue, Minneapolis, MN 55415 — (612) 702-6102
  • 5725 Loftus Lane, Savage, MN 55378-2717 — (952) 226-9500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 60135 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063831733
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address4151 Willowwood St Se, Prior Lake, MN 55372-4304

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2014 (12 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Prior Lake