Active NPI
Scott a Groat D P M P a
- Podiatrist
- Mary Esther, FL
National Provider Identifier
1730495698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 1786
- Legal business name
- SCOTT A GROAT D P M P A
- Practice address
- 151 Mary Esther Blvd
Suite 510
Mary Esther, FL 32569-1972 - Phone
- (850) 243-1255
- Fax
- (850) 664-5578
- NPI assigned
- Aug 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Alan Groat, D.P.M.
- Title
- Podiatrist
- Phone
- (850) 243-1255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 1786 | FL | Primary |
Addresses
Primary practice location
151 Mary Esther Blvd
Suite 510
Mary Esther, FL 32569-1972
Mailing address
151 Mary Esther Blvd
Suite 510
Mary Esther, FL 32569-1972
Phone (850) 243-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029673200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
770 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-6760
151 Mary Esther Blvd
Ste 510
Mary Esther, FL 32569
Phone (850) 243-1255
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2473c3e4-a3db-44eb-852b-6c845f6e5961/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349654400000",
"number": "1730495698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 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 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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT A GROAT D P M P A",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-28",
"last_updated": "2012-10-08",
"status": "A",
"authorized_official_last_name": "GROAT",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "850-243-1255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"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 Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.