Individual provider Active NPI

Scott Blackwell, DO

  • Anesthesiology Physician
  • Nashville, TN
National Provider Identifier
1508889833
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
3351 Issued in TN
Practice address
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone
(615) 327-4304
Fax
(615) 327-7940
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 02002717A IN
Anesthesiology Physician 207L00000X 3351 TN Primary

Addresses

Primary practice location

110 29TH Ave N Ste 202
Nashville, TN 37203-1448

Mailing address

110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304

Other practice location 1

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone (210) 916-9118

Other practice location 2

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone (210) 916-9118

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
I20220526002407 FL Practitioner - Anesthesiology 1254491426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Anesthesia Associates, IncGroup PAC ID 5193986131, 47 clinicians

Practice addresses (Care Compare)

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (954) 939-5000

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002717AINMDAnesthesiology Physician
3351TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jan 14, 2024 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Coral Anesthesia Associates, Inc Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Coral Anesthesia Associates, Inc Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jan 14, 2024 Accepting new patients

Locations

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

1879 Veterans Park Dr
Ste 1101
Naples, FL 34109
Phone (239) 248-7623

2621 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 444-5510

3201 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-5476

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 5

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.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508889833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031448",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031448",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02002717A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "3351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.