Provider Demographics
NPI:1063384642
Name:BARON, SCOTT A (RN)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:BARON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 E MARKET ST APT 706
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2894
Mailing Address - Country:US
Mailing Address - Phone:972-207-4472
Mailing Address - Fax:
Practice Address - Street 1:360 E MARKET ST APT 706
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2894
Practice Address - Country:US
Practice Address - Phone:972-207-4472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28295528A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN28295528AOtherRNLICENSE