Organization Active NPI

Scola Podiatry P a

  • Podiatric Clinic/Center
  • Gainesville, FL
National Provider Identifier
1093084642
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
P02981 Issued in FL
Legal business name
SCOLA PODIATRY P A
Doing business as
Jere Scola III DPM
Practice address
4615 NW 53Rd Ave
Gainesville, FL 32653-4885
Phone
(352) 264-0094
Fax
(352) 375-1677
NPI assigned
Dec 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Mr. Jere Scola, DPM
Title
Managing Partner
Phone
(352) 264-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X P02981 FL Primary

Addresses

Primary practice location

4615 NW 53Rd Ave
Gainesville, FL 32653-4885

Mailing address

2630 NW 41St St
Suite C3
Gainesville, FL 32606-7495
Phone (352) 375-0166

Other identifiers 1

IdentifierTypeStateIssuer
340266500MedicaidFL

Other names 1

  • Jere Scola III DPM Doing business as

National Provider Directory

National Provider Directory

Locations

4615 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 264-0094

Practitioners & affiliated clinicians

Practitioners 1

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": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1093084642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 NW 41ST ST",
            "address_2": "SUITE C3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067495",
            "telephone_number": "352-375-0166",
            "fax_number": "352-375-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 NW 53RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534885",
            "telephone_number": "352-264-0094",
            "fax_number": "352-375-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLA PODIATRY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "SCOLA",
        "authorized_official_first_name": "JERE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "352-264-0094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "P02981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340266500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jere Scola III DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.