Active NPI
Scott A Groat, DPM
- Foot Surgery Podiatrist
- Mary Esther, FL
National Provider Identifier
1700812385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO 1786
- Practice address
- 151 S Mary Esther Blvd
Ste 510
Mary Esther, FL 32569-1972 - Phone
- (850) 243-1255
- Fax
- (850) 664-5578
- NPI assigned
- Jun 24, 2006
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | PO 1786 | FL | Primary |
Addresses
Primary practice location
151 S Mary Esther Blvd
Ste 510
Mary Esther, FL 32569-1972
Mailing address
151 S Mary Esther Blvd
Suite 510
Mary Esther, FL 32569-1972
Phone (850) 243-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029673200 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 1786 | FL | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1700812385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 S MARY ESTHER BLVD",
"address_2": "SUITE 510",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691972",
"telephone_number": "850-243-1255",
"fax_number": "850-664-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S MARY ESTHER BLVD",
"address_2": "STE 510",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691972",
"telephone_number": "850-243-1255",
"fax_number": "850-664-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROAT",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "FL",
"license": "PO 1786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029673200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.