Scott H Jaffe, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-8523 Issued in FL

Practice address

3384 Woods Edge Cir
#103
Bonita Springs, FL 34134-1367

Phone

(239) 498-5760

Fax

(239) 498-5763

NPI assigned

Jul 10, 2006

Last updated

Aug 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

• Gulf Coast Certified Primary Care PA

  • Health Maintenance Organization
  • Bonita Springs, FL
  • NPI 1275734816
  Authorized official Same address or phone

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1780618561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 WOODS EDGE CIR",
            "address_2": "#103",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341367",
            "telephone_number": "239-498-5760",
            "fax_number": "239-498-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 WOODS EDGE CIR",
            "address_2": "#103",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341367",
            "telephone_number": "239-498-5760",
            "fax_number": "239-498-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-8523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Theresa Ippolito
• Luckner Isme I
• IV Drug Solutions
• J-M Ward Enterprises LLC
• J&JL Enterprises, LLC D/B/a J&J Louis Enterprises, LLC (John's Pharmac (Benzer Pharmacy)
• Gabriela Jamur
• Javier Alfonso de la Cruz, PLLC (June Dental of Bonita)
• JCR DMD LC (Towne Dental)
• Je Med Supplies and Services LC
• Timothy John Jernberg, D.M.D.

• Family Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.