Charles D. Scarborough M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME018474 Issued in FL

Legal business name

CHARLES D. SCARBOROUGH M.D.

Practice address

31 South 5TH Street
Macclenny, FL 32063-2301

Phone

(904) 259-2725

Fax

(904) 259-2907

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles D Scarborough, M.D.NPI 1205854312

Title

Physician

Phone

(904) 259-2725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Dunn Scarborough, MD

  • Family Medicine Physician
  • Macclenny, FL
  • NPI 1205854312
  Authorized official Same address or phone

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1710136577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SOUTH 5TH STREET",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632301",
            "telephone_number": "904-259-2725",
            "fax_number": "904-259-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SOUTH 5TH STREET",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632301",
            "telephone_number": "904-259-2725",
            "fax_number": "904-259-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. SCARBOROUGH M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-259-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME018474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Eric Cardozo, DC
• Christian Carlson
• Derrick Gene Carter, D.M.D.
• Kristi Lynee Carter, OT
• Kristyn Carter, APRN
• Hiep Ngoc Chau, M.D.
• Brianna S Chesteen
• Jennifer Russ Childers, APRN
• CHS FL, LLC
• Erica L Ciccone, CLC

• Family Medicine Physician in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.