Individual provider Active NPI

Douglas George Scott II, DO

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1750474375
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8564 Issued in FL
Practice address
2814 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607
Phone
(813) 898-8009
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8564 FL Primary

Addresses

Primary practice location

2814 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607

Mailing address

2814 W Dr MLK Blvd
Tampa, FL 33607-6374
Phone (813) 898-8009

Other identifiers 1

IdentifierTypeStateIssuer
002316700MedicaidFL

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
I20100630000678 FL Practitioner - Family Practice 4183755473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4019 W Waters Ave
Suite B
Tampa, FL 33614-1949
Phone (813) 582-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8564FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Right Spinal Clinic Inc CurrentSince Apr 8, 2021 Accepting new patients
The Right Spinal Clinic Inc Family Medicine CurrentSince Apr 8, 2021 Accepting new patients
Summerfield Medical Clinic MD PA Past Accepting new patients

Locations

3040 W Cypress St
Ste 102
Tampa, FL 33609
Phone (813) 270-6205

4019 W Waters Ave
Ste Ae
Tampa, FL 33614

4019 W Waters Ave
Ste B
Tampa, FL 33614
Phone (813) 582-7000

4019 W Waters Ave
Ste E
Tampa, FL 33614
Phone (813) 392-2164

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21622/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1750474375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 W DR MLK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076374",
            "telephone_number": "813-898-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-898-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DOUGLAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002316700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.