Active NPI
Scott Podnos, MD
- MOHS-Micrographic Surgery Physician
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME77859
- Practice address
- 290 Indian Trce
Weston, FL 33326-4509 - Phone
- (954) 908-3604
- Fax
- (954) 903-4075
- NPI assigned
- Aug 30, 2006
- Last updated
- Dec 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME77859 | FL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME77859 | FL | Primary |
Addresses
Primary practice location
290 Indian Trce
Weston, FL 33326-4509
Mailing address
151 Southhall LN
Ste 300
Maitland, FL 32751-7176
Phone (407) 875-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257778000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 Clint Moore Rd
Suite 103
Boca Raton, FL 33496-2659
Phone (561) 241-4474
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 436 |
| Removal of skin lesions | 493 |
| Removal of skin cancer | 1034 |
| Skin biopsy | 269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
Locations
1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474
2620 S Seacrest Blvd
Ste B
Boynton Beach, FL 33435
Phone (561) 737-4888
540 Medical Oaks Ave
Ste 102
Brandon, FL 33511
Phone (813) 651-1991
632 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 829-7102
82245 Overseas Hwy
Islamorada, FL 33036
Phone (305) 664-0700
120 International Pkwy
Ste 240
Lake Mary, FL 32746
Phone (407) 333-4200
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
3 SW 129th Ave
Ste 100
Pembroke Pines, FL 33027
Phone (954) 447-3200
11474 SW Village Pkwy
Port St Lucie, FL 34987
Phone (772) 318-4845
484 US Highway 1
Ste C
Sebastian, FL 32958
Phone (772) 646-6100
6450 38th Ave N
Ste 420
St Petersburg, FL 33710
Phone (727) 344-6851
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
3755 7th Ter
Vero Beach, FL 32960
Phone (772) 569-5056
290 Indian Trce
Weston, FL 33326
Phone (954) 349-4004
2229 N Commerce Pkwy
Ste 210
Weston, FL 33326
Phone (954) 709-2701
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
dba Advanced Dermatology and Cosmetic Surq
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
dba Advanced Dermatology and Cosmetic Surgery
- Dermatology Physician
- Bradenton, FL
- NPI 1801191101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1053421446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SOUTHHALL LN",
"address_2": "STE 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517176",
"telephone_number": "407-875-2080",
"fax_number": "407-650-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 INDIAN TRCE",
"city": "WESTON",
"state": "FL",
"postal_code": "333264509",
"telephone_number": "954-908-3604",
"fax_number": "954-903-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODNOS",
"first_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME77859",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME77859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257778000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.