Organization Active NPI

Scott a Groat D P M P a

  • Podiatrist
  • Mary Esther, FL
National Provider Identifier
1730495698
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 1786 Issued in FL
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

Updated by the provider on Oct 8, 2012

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
029673200MedicaidFL

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.