Active NPI
Scott A Rodger, MD
- Family Medicine Physician
- Eustis, FL
National Provider Identifier
1467445221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0053992
- Practice address
- 2200 S Bay St
Suite a
Eustis, FL 32726-6314 - Phone
- (352) 483-1466
- Fax
- (352) 483-1134
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0053992 | FL | Primary |
Addresses
Primary practice location
2200 S Bay St
Suite a
Eustis, FL 32726-6314
Mailing address
PO Box 1887
Eustis, FL 32727-1887
Phone (352) 483-1466
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100729000838 | FL | Practitioner - Family Practice | 8628101482 | Practice locations: Eustis, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259366400000",
"number": "1467445221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1887",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327271887",
"telephone_number": "352-483-1466",
"fax_number": "352-483-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 S BAY ST",
"address_2": "SUITE A",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266314",
"telephone_number": "352-483-1466",
"fax_number": "352-483-1134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGER",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2009-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0053992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.