Active NPI
Scott Douglas Distler, HEARING SPECIALIST
- Other Specialist/Technologist
- Orlando, FL
National Provider Identifier
1538659537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- AS5171
- Practice address
- 7512 Dr Phillips Blvd
Orlando, FL 32819-5131 - Phone
- (407) 849-6520
- Fax
- (407) 849-6522
- NPI assigned
- May 15, 2018
- 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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | AS5171 | FL | Primary |
Addresses
Primary practice location
7512 Dr Phillips Blvd
Orlando, FL 32819-5131
Mailing address
750 Hempstead Ave
Orlando, FL 32803-6522
Phone (407) 375-7268
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS5171 | FL | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1538659537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HEMPSTEAD AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328036522",
"telephone_number": "407-375-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 DR PHILLIPS BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195131",
"telephone_number": "407-849-6520",
"fax_number": "407-849-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISTLER",
"first_name": "SCOTT",
"middle_name": "DOUGLAS",
"credential": "HEARING SPECIALIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "FL",
"license": "AS5171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.