Active NPI
Scott D Beede MD PA
- Internal Medicine Physician
- Boca Raton, FL
National Provider Identifier
1396921904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME78380
- Legal business name
- SCOTT D BEEDE MD PA
- Practice address
- 951 NW 13TH St Ste 4C
Boca Raton, FL 33486-2337 - Phone
- (561) 395-0455
- Fax
- (561) 395-3032
- NPI assigned
- Jan 14, 2008
- 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
- Mrs. Sharon J Beede, RN
- Title
- Office Manager
- Phone
- (561) 395-0455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME78380 | FL | Primary |
Addresses
Primary practice location
951 NW 13TH St Ste 4C
Boca Raton, FL 33486-2337
Mailing address
951 NW 13TH St Ste 4C
Boca Raton, FL 33486-2337
Phone (561) 395-0455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1043796 | Scott D Beede MD PA | Certificate of waiver | Aug 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
301 Camino Gardens Blvd
Ste 102
Boca Raton, FL 33432
Phone (561) 392-3340
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1598745119
-
- Cardiovascular Disease Physician
- Delray Beach, FL
- NPI 1720044290
-
- Dermatology Physician
- Delray Beach, FL
- NPI 1306939814
-
- Dermatology Physician
- Boynton Beach, FL
- NPI 1871696021
-
- Dermatology Physician
- Boca Raton, FL
- NPI 1003925173
-
- Diagnostic Radiology Physician
- Delray Beach, FL
- NPI 1376514026
-
- Medical Physician Assistant
- Delray Beach, FL
- NPI 1518009497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356912000000",
"number": "1396921904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 NW 13TH ST STE 4C",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862337",
"telephone_number": "561-395-0455",
"fax_number": "561-395-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NW 13TH ST STE 4C",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862337",
"telephone_number": "561-395-0455",
"fax_number": "561-395-3032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT D BEEDE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-14",
"last_updated": "2012-12-31",
"status": "A",
"authorized_official_last_name": "BEEDE",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "561-395-0455",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME78380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.