Jere Anthony Scola III, M.D.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P02981 Issued in FL

Practice address

4615 NW 53Rd Ave
Gainesville, FL 32653-4885

Phone

(352) 264-0094

Fax

(352) 375-1677

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Scola Podiatry

  • Podiatrist
  • Gainesville, FL
  • NPI 1568785012
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1649201153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147050",
            "address_2": "PMB 515",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326147050",
            "telephone_number": "352-264-0094",
            "fax_number": "352-377-4816"
        },
        {
            "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": {
        "last_name": "SCOLA",
        "first_name": "JERE",
        "middle_name": "ANTHONY",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P02981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340266500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reva Renee Scippio, LCSW
• David Tyler Scoates Jr., MSW
• Laloni Scoggins
• Scola Podiatry
• Scola Podiatry P a
• Juan C Scornik, MD
• Kimone Scott-Kotb, CRNA
• Hellena Renee Scott-Okafor, M.D.
• Aaron J Scott, RN
• Alicia M Scott, PH.D.

• Podiatrist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.