Active NPI
Clarence Scott MD,PA
- Specialist
- Sanford, FL
National Provider Identifier
1194907378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0059756
- Legal business name
- CLARENCE SCOTT MD,PA
- Practice address
- 1621 W First Street
Sanford, FL 32772-0907 - Phone
- (407) 345-8961
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clarence Scott, M.D
- Title
- Physician
- Phone
- (407) 351-1809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0059756 | FL | Primary |
Addresses
Primary practice location
1621 W First Street
Sanford, FL 32772-0907
Mailing address
PO Box 907
1621 W.First Street
Sanford, FL 32772-0907
Phone (407) 345-8961
National Provider Directory
National Provider DirectoryLocations
1061 Medical Center Dr
Ste 206
Orange City, FL 32763
Phone (386) 917-5547
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tavares, FL
- NPI 1346248903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1194907378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 907",
"address_2": "1621 W.FIRST STREET",
"city": "SANFORD",
"state": "FL",
"postal_code": "327720907",
"telephone_number": "407-345-8961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 W FIRST STREET",
"city": "SANFORD",
"state": "FL",
"postal_code": "327720907",
"telephone_number": "407-345-8961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARENCE SCOTT MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "CLARENCE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "407-351-1809",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0059756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.