Individual provider Active NPI

Scott G. Cutler, M.D.

  • Neurological Surgery Physician
  • Tampa, FL
National Provider Identifier
1689728289
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME47544 Issued in FL
Practice address
4321 N. Macdill Ave
Suite 303
Tampa, FL 33607-6390
Phone
(813) 874-9922
Fax
(813) 876-8881
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME47544 FL Primary

Addresses

Primary practice location

4321 N. Macdill Ave
Suite 303
Tampa, FL 33607-6390

Mailing address

4321 N. Macdill Ave
Suite 303
Tampa, FL 33607-6390
Phone (813) 874-9922

Other identifiers 3

IdentifierTypeStateIssuer
30912OtherFLBCBS OF FLORIDA
4047872OtherFLAETNA
043551100MedicaidFL

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
I20110419000112 FL Practitioner - Neurosurgery 8628252509 Practice locations: Tampa, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47544FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott G. Cutler Neurological Surgery PastSince Dec 20, 1985 Accepting new patients

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1689728289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 N. MACDILL AVE",
            "address_2": "SUITE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076390",
            "telephone_number": "813-874-9922",
            "fax_number": "813-876-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N. MACDILL AVE",
            "address_2": "SUITE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076390",
            "telephone_number": "813-874-9922",
            "fax_number": "813-876-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "SCOTT",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME47544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "30912",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4047872",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043551100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.