Tavonte Scurry

Primary specialty

DriverTaxonomy code 172A00000X

License

TG518752 Issued in OH

Practice address

1088 Eastway Dr Apt 9
Youngstown, OH 44505-4682

Phone

(330) 719-6812

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Branding Machine LLC

  • Non-emergency Medical Transport (VAN)
  • Youngstown, OH
  • NPI 1437843307
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1003500042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 EASTWAY DR APT 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445054682",
            "telephone_number": "330-719-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 EASTWAY DR APT 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445054682",
            "telephone_number": "330-719-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCURRY",
        "first_name": "TAVONTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "OH",
            "license": "TG518752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Stephen Scott, MD
• Stephanie Janeen Scott
• Tamyka Scott, LISW
• Thomas B. Scott
• Wilena Scott, L.P.N.
• October Seals
• Kyle Searles
• Guy Sebastian
• Stephanie N Sedall, LPC
• Brienne N Seekford, CAA

• Driver in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.