NPIMap

Organization Active NPI

Scott Sports Med, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
National Provider Identifier
1053635870
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME100433 Issued in FL
Legal business name
SCOTT SPORTS MED, LLC
Practice address
6918 Gunn Hwy Ste C
Tampa, FL 33625-3800
Phone
(813) 855-8450
Fax
(813) 855-7540
NPI assigned
Mar 23, 2010
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Kevin Lamont Scott, M.D.NPI 1992786776
Title
Owner
Phone
(813) 855-8450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME100433 FL Primary

Addresses

Primary practice location

6918 Gunn Hwy Ste C
Tampa, FL 33625-3800

Mailing address

6918 Gunn Hwy Ste C
Tampa, FL 33625-3800
Phone (813) 855-8450

Other practice location 1

11301 Countryway Blvd
Tampa, FL 33626-2610
Phone (813) 855-8450

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10901 Sheldon Rd
Tampa, FL 33626
Phone (813) 343-3101

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": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1053635870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 GUNN HWY STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253800",
            "telephone_number": "813-855-8450",
            "fax_number": "813-855-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 GUNN HWY STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253800",
            "telephone_number": "813-855-8450",
            "fax_number": "813-855-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11301 Countryway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336262610",
            "country_code": "US",
            "telephone_number": "813-855-8450",
            "fax_number": "813-855-7540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTT SPORTS MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-855-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME100433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.