Organization Active NPI

Edward Henry Scarpitti, MD PA

  • Urology Physician
  • St Augustine, FL
National Provider Identifier
1023476454
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME24898 Issued in FL
Legal business name
EDWARD HENRY SCARPITTI, MD PA
Practice address
17 Saint Johns Medical Park Dr
St Augustine, FL 32086-4331
Phone
(904) 797-7272
Fax
(904) 797-9119
NPI assigned
Jan 30, 2016
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Edward Henry Scarpitti, M.D., P.A.
Title
Owner
Phone
(904) 797-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME24898 FL Primary

Addresses

Primary practice location

17 Saint Johns Medical Park Dr
St Augustine, FL 32086-4331

Mailing address

17 Saint Johns Medical Park Dr
St Augustine, FL 32086-4331
Phone (904) 797-7272

Other identifiers 1

IdentifierTypeStateIssuer
59201OtherFLFL BLUE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1023476454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864331",
            "telephone_number": "904-797-7272",
            "fax_number": "904-797-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864331",
            "telephone_number": "904-797-7272",
            "fax_number": "904-797-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HENRY SCARPITTI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "SCARPITTI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-797-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME24898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "59201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.