Individual provider Active NPI

Scott Lance Comiter, M.D.

  • Urology Physician
  • Pompano Beach, FL
National Provider Identifier
1710912084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 61855 Issued in FL
Practice address
50 E Sample Rd
Suite 300
Pompano Beach, FL 33064-3552
Phone
(954) 784-7204
Fax
(954) 784-7205
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 61855 FL Primary

Addresses

Primary practice location

50 E Sample Rd
Suite 300
Pompano Beach, FL 33064-3552

Mailing address

50 E Sample Rd
Suite 300
Pompano Beach, FL 33064-3552
Phone (954) 784-7204

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
I20040326001012 FL Practitioner - Urology 7810889565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 61855FLMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710912084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643552",
            "telephone_number": "954-784-7204",
            "fax_number": "954-784-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643552",
            "telephone_number": "954-784-7204",
            "fax_number": "954-784-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMITER",
        "first_name": "SCOTT",
        "middle_name": "LANCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 61855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.