Organization Active NPI

Scow of Florida, LLC

  • Chiropractor
  • Saint Petersburg, FL
National Provider Identifier
1740438449
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8283 Issued in FL
Legal business name
SCOW OF FLORIDA, LLC
Practice address
3348 Tyrone Blvd N
Saint Petersburg, FL 33710-2340
Phone
(727) 381-7433
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Dr. Steven Wyckoff, D.C.NPI 1912905662
Title
Owner
Phone
(727) 381-7433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8283 FL Primary

Addresses

Primary practice location

3348 Tyrone Blvd N
Saint Petersburg, FL 33710-2340

Mailing address

3348 Tyrone Blvd N
Saint Petersburg, FL 33710-2340
Phone (727) 381-7433

Other names 1

  • Vitality Chiropractic and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000358 FL Part B Supplier - Clinic/Group Practice 7810057015 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1740438449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 TYRONE BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337102340",
            "telephone_number": "727-381-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 TYRONE BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337102340",
            "telephone_number": "727-381-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOW OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "WYCKOFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-381-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.