NPIMap

Organization Active NPI

SCC Group Health Clinic Incorporated

  • Chiropractor
  • Sun City Center, FL
National Provider Identifier
1083688485
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCC GROUP HEALTH CLINIC INCORPORATED
Practice address
1601 Rickenbacker Dr
Suite #2
Sun City Center, FL 33573-5332
Phone
(813) 634-8980
Fax
(813) 634-2593
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. Allen Thomas Zak, D.C.NPI 1013981125
Title
President
Phone
(813) 634-8980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1601 Rickenbacker Dr
Suite #2
Sun City Center, FL 33573-5332

Mailing address

1601 Rickenbacker Dr
Suite #2
Sun City Center, FL 33573-5332
Phone (813) 634-8980

Other identifiers 5

IdentifierTypeStateIssuer
22072OtherFLBC/BS PROVIDER NUMBER
050266900MedicaidFL
350013655OtherFLRAILROAD MEDICARE NUMBER
T54819OtherFLUPIN NUMBER
0009673OtherFLAETNA PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

12701 World Plaza Ln
Bldg 80
Fort Myers, FL 33907

1601 Rickenbacker Dr
Ste 2
Sun City Ctr, FL 33573
Phone (813) 634-0754

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1083688485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RICKENBACKER DR",
            "address_2": "SUITE #2",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735332",
            "telephone_number": "813-634-8980",
            "fax_number": "813-634-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RICKENBACKER DR",
            "address_2": "SUITE #2",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735332",
            "telephone_number": "813-634-8980",
            "fax_number": "813-634-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCC GROUP HEALTH CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-634-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "22072",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050266900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "350013655",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN NUMBER",
            "identifier": "T54819",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "0009673",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.