Individual provider Active NPI

Scott Alexander King, M.D.

  • Anesthesiology Physician
  • Eglin AFB, FL
National Provider Identifier
1447387543
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME109741 Issued in FL
Practice address
307 Boatner Rd
BLDG 2825
Eglin AFB, FL 32542-1302
Phone
(850) 883-9506
NPI assigned
Feb 27, 2007
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101336723 VA
Pain Medicine Physician 208VP0000X ME109741 FL
Anesthesiology Physician 207L00000X ME109741 FL Primary

Addresses

Primary practice location

307 Boatner Rd
BLDG 2825
Eglin AFB, FL 32542-1302

Mailing address

307 Boatner Rd
BLDG 2825
Eglin AFB, FL 32542-1302
Phone (850) 883-9506

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000368 FL Practitioner - Anesthesiology 5991878209 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities Anesthesia Associates PLGroup PAC ID 5092954222, 5 clinicians

Practice addresses (Care Compare)

2190 Hwy 85 N
Niceville, FL 32578-1045
Phone (850) 678-4131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101336723VAMDAnesthesiology Physician
ME109741FLMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Nov 19, 2021 Accepting new patients
Twin Cities Anesthesia Associates, PL Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Apr 25, 2015 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
St Lucie Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Apr 25, 2015 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Jul 1, 2015 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Jul 1, 2015 Accepting new patients
Destin Anesthesia, LLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Anesthesiology Past Accepting new patients

Locations

501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

1225 Airport Rd
Destin, FL 32541
Phone (850) 650-7606

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

1034 Mar Walt Dr
Unit 300
Ft Walton Bch, FL 32547
Phone (850) 315-9231

201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1447387543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "BLDG 2825",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "BLDG 2825",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SCOTT",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101336723",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME109741",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME109741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eglin AFB, FL

Sources for this page

Verify at the official NPI Registry.