William Scott Pancake, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHOOO8612 Issued in FL

Practice address

910 N Main St
Kissimmee, FL 34744-4566

Phone

(407) 846-9355

Fax

(407) 846-9352

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Central Florida Spine Rehab

  • Physical Therapy Clinic/Center
  • Kissimmee, FL
  • NPI 1194977785
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1174621494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444566",
            "telephone_number": "407-846-9355",
            "fax_number": "407-846-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444566",
            "telephone_number": "407-846-9355",
            "fax_number": "407-846-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCAKE",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO8612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89275Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CHIROPRACTIC LICE",
            "identifier": "CH0008612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Palmer, DO
• Nathaniel Rohan Palmer
• Alfredo Enrique Palomino Abella, MD
• Anabel Palomino Sene, MS, BCBA
• Pancake Wellness Center of Florida LLC
• Katherine Nicole Pancho Vasquez
• Pandi Acupuncture and Massage
• Jeanette Paneto, BSW
• Paolina Pantcheva, M.D.
• Caodencia Pantojas

• Chiropractor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.