Organization Active NPI

Scott D McDowall PLLC

  • Nephrology Physician
  • St Augustine, FL
National Provider Identifier
1134514573
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME104843 Issued in FL
Legal business name
SCOTT D MCDOWALL PLLC
Practice address
100 Whetstone PL
Suite 206
St Augustine, FL 32086-5774
Phone
(904) 547-2808
Fax
(904) 679-3169
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Scott McDowall, MDNPI 1982829982
Title
Owner
Phone
(904) 540-9511

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME104843 FL Primary

Addresses

Primary practice location

100 Whetstone PL
Suite 206
St Augustine, FL 32086-5774

Mailing address

PO Box 840162
St Augustine, FL 32080-0162
Phone (904) 540-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150601000842 FL Part B Supplier - Clinic/Group Practice 2769703925 Receives reassigned benefits from 6 practitioners
Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Locations

6541 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-6600

21 Hospital Dr
Ste 230
Palm Coast, FL 32164
Phone (386) 446-0455

100 Whetstone Pl
Ste 206
St Augustine, FL 32086
Phone (904) 217-3545

Practitioners & affiliated clinicians

Practitioners 6

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1134514573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840162",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320800162",
            "telephone_number": "904-540-9511",
            "fax_number": "904-679-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "address_2": "SUITE 206",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-547-2808",
            "fax_number": "904-679-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D MCDOWALL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "MCDOWALL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-540-9511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME104843",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.