Active NPI
Scott B. Samera, DPM, PA, LLC
Doing business as Scott B. Samera, DPM, PA
- Foot & Ankle Surgery Podiatrist
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3510
- Legal business name
- SCOTT B. SAMERA, DPM, PA, LLC
- Doing business as
- Scott B. Samera, DPM, PA
- Practice address
- 404 NW Hall of Fame Dr
Lake City, FL 32055-4833 - Phone
- (386) 935-1093
- NPI assigned
- Dec 6, 2012
- Last updated
- Dec 6, 2012
- Organization subpart
- Yes
- Parent organization
- SCOTT B. SAMERA, DPM, PA, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Brian Samera, DPM
- Title
- President/Owner
- Phone
- (386) 935-1093
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3510 | FL | Primary |
Addresses
Primary practice location
404 NW Hall of Fame Dr
Lake City, FL 32055-4833
Mailing address
PO Box 846
Branford, FL 32008-0846
Phone (386) 935-1093
Other names 1
- SCOTT B. SAMERA, DPM, PA
National Provider Directory
National Provider Directory- Part of
- Scott B Samera DPM PA LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Foot & Ankle Surgery Podiatrist
- Branford, FL
- NPI 1043591936
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354752000000",
"number": "1386989010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846",
"city": "BRANFORD",
"state": "FL",
"postal_code": "320080846",
"telephone_number": "386-935-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 NW HALL OF FAME DR",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554833",
"telephone_number": "386-935-1093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT B. SAMERA, DPM, PA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SCOTT B. SAMERA, DPM, PA, LLC",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A",
"authorized_official_last_name": "SAMERA",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "386-935-1093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SCOTT B. SAMERA, DPM, PA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.