Individual provider Active NPI

Michaela G Scott, M.D.

  • Hematology & Oncology Physician
  • Vero Beach, FL
National Provider Identifier
1649272899
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0025287 Issued in FL
Practice address
1926 Ocean Dr
Vero Beach, FL 32963-2112
Phone
(772) 231-3033
NPI assigned
Jun 1, 2005
Last updated
Nov 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0025287 FL Primary

Addresses

Primary practice location

1926 Ocean Dr
Vero Beach, FL 32963-2112

Mailing address

1926 Ocean Dr
Vero Beach, FL 32963-2112
Phone (772) 231-3033

Other practice location 1

1460 36th St
Vero Beach, FL 32960-4849
Phone (772) 562-7777

Other identifiers 5

IdentifierTypeStateIssuer
10D0276491OtherFLCLIA
CN9289OtherFLRR GROUP
044030200MedicaidFL
1017703OtherFLNCPDP
G8850OtherFLBCBS GROUP

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0025287FLMDHematology & Oncology Physician
25287FLMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: michaela.scott.1@32031.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1649272899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 OCEAN DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632112",
            "telephone_number": "772-231-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 OCEAN DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632112",
            "telephone_number": "772-231-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 36th St",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604849",
            "country_code": "US",
            "telephone_number": "772-562-7777",
            "fax_number": "772-231-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MICHAELA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0025287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0276491",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP",
            "identifier": "CN9289",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044030200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1017703",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "G8850",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.