Individual provider Active NPI

Samuel G Scime, MD

  • Ophthalmology Physician
  • Tamarac, FL
National Provider Identifier
1295850733
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME15470 Issued in FL
Practice address
7401 North University Drive
Suite 202
Tamarac, FL 33321-2919
Phone
(954) 721-8330
Fax
(954) 721-8330
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME15470 FL Primary

Addresses

Primary practice location

7401 North University Drive
Suite 202
Tamarac, FL 33321-2919

Mailing address

7401 North University Drive
Suite 202
Tamarac, FL 33321-2919
Phone (954) 721-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15470FLMDChiropractor
ME15470FLMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1295850733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 NORTH UNIVERSITY DRIVE",
            "address_2": "SUITE 202",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212919",
            "telephone_number": "954-721-8330",
            "fax_number": "954-721-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 NORTH UNIVERSITY DRIVE",
            "address_2": "SUITE 202",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212919",
            "telephone_number": "954-721-8330",
            "fax_number": "954-721-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIME",
        "first_name": "SAMUEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME15470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.