Scott D Warren MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME64364 Issued in FL

Legal business name

SCOTT D WARREN MD PA

Practice address

6890 Belfort Oaks PL
Jacksonville, FL 32216-6241

Phone

(904) 296-1313

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Sharon Butler

Title

Practice Administrator

Phone

(904) 482-4050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James W Trimble, M.D.

  • Dermatology Physician
  • Jacksonville, FL
  • NPI 1770521163
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184662785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6890 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166241",
            "telephone_number": "904-296-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6890 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166241",
            "telephone_number": "904-296-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D WARREN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-482-4050"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME64364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Samuel Scolapio, M.D.
• Scoliosis Centers of Boston, LLC
• Scooter Doctor, Inc.
• Scooter Store - Jacksonville LLC
• Scott Alarm, Inc
• Scott Mosher, LMHC, Inc.
• Scott P. Brody, M.D., PA
• Scott W Rice MD PA
• Adeline Rose Scott, PT, DPT
• Anna Elizabeth Scott

• Dermatology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.