Organization Active NPI

Clarence Scott MD,PA

  • Specialist
  • Sanford, FL
National Provider Identifier
1194907378
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0059756 Issued in FL
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

Updated by the provider on Jan 2, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.