Individual provider Active NPI

Scott E Murphy, PA

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1225001639
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0001771 Issued in FL
Practice address
5535 Memorial Hwy
Tampa, FL 33634-7332
Phone
(813) 574-4869
Fax
(813) 889-9724
NPI assigned
Feb 8, 2006
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0001771 FL Primary

Addresses

Primary practice location

5535 Memorial Hwy
Tampa, FL 33634-7332

Mailing address

8250 Bryan Dairy Rd
Ste 300
Largo, FL 33777-1356
Phone (727) 544-2500

Other identifiers 1

IdentifierTypeStateIssuer
291235000MedicaidFL

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412002106 FL Order and Referring Only - Physician Assistant 2062739824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0001771FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Medical Clinic LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1225001639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD",
            "address_2": "STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771356",
            "telephone_number": "727-544-2500",
            "fax_number": "727-541-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347332",
            "telephone_number": "813-574-4869",
            "fax_number": "813-889-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA0001771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291235000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.