Organization Active NPI

Scola Podiatry

  • Podiatrist
  • Gainesville, FL
National Provider Identifier
1568785012
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P02981 Issued in FL
Legal business name
SCOLA PODIATRY
Practice address
4615 NW 53Rd Ave
Gainesville, FL 32653-4885
Phone
(352) 264-0094
Fax
(352) 375-1677
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Jere A Scola III, DPMNPI 1649201153
Title
Owner/President
Phone
(352) 264-0094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X P02981 FL Primary

Addresses

Primary practice location

4615 NW 53Rd Ave
Gainesville, FL 32653-4885

Mailing address

PO Box 147050
PMB 515
Gaiensville, FL 32614-4885
Phone (352) 264-0094

Other identifiers 1

IdentifierTypeStateIssuer
340266500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1568785012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147050",
            "address_2": "PMB 515",
            "city": "GAIENSVILLE",
            "state": "FL",
            "postal_code": "326144885",
            "telephone_number": "352-264-0094",
            "fax_number": "352-375-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 NW 53RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534885",
            "telephone_number": "352-264-0094",
            "fax_number": "352-375-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLA PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "SCOLA",
        "authorized_official_first_name": "JERE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-264-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P02981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340266500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.