Scott Wynn Hacking, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME91368 Issued in FL

Practice address

6182 Gunn Hwy
Tampa, FL 33625-4014

Phone

(813) 960-1100

Fax

(813) 960-1101

NPI assigned

Oct 13, 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 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24219/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1184714024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STILES LN",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346836217",
            "telephone_number": "727-253-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6182 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254014",
            "telephone_number": "813-960-1100",
            "fax_number": "813-960-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKING",
        "first_name": "SCOTT",
        "middle_name": "WYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277356200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liset Hachen Castaneda
• Suzana Maria Hachey, PMHNP
• Hacienda Villas Alf
• Taylor Hackal
• Joshua Hackenberg, PA-C
• Jase R Hackney, D.M.D.
• Noah Hackney, MD
• Ari Hadar, MD
• Wedad Haddabeh, PHARMD
• Walid Haddad, MD

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.