Active NPI
Tina S Carrol-Scott, M.D
- Pediatrics Physician
- South Miami, FL
National Provider Identifier
1417088360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME67630
- Practice address
- 6701 SW 58TH PL
South Miami, FL 33143-3699 - Phone
- (305) 662-5988
- Fax
- (305) 662-5589
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME67630 | FL | Primary |
Addresses
Primary practice location
6701 SW 58TH PL
South Miami, FL 33143-3699
Mailing address
6701 SW 58TH PL
South Miami, FL 33143-3699
Phone (305) 662-5988
Other names 1
- Miss Tina S Carrol
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME67630 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Miami Childrens Clinic Inc | Past | Accepting new patients |
Interoperability endpoints
- tina.carroll-scott.1@23886.direct.athenahealth.com
- https://api.platform.athenahealth.com/23886/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Clinic/Center
- South Miami, FL
- NPI 1669636791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417088360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 SW 58TH PL",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433699",
"telephone_number": "305-662-5988",
"fax_number": "305-662-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 SW 58TH PL",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433699",
"telephone_number": "305-662-5988",
"fax_number": "305-662-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROL-SCOTT",
"first_name": "TINA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME67630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "CARROL",
"middle_name": "S",
"prefix": "MISS",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.