Organization Active NPI

Michael a. Scannon MD PA

  • Procedural Dermatology Physician
  • Tampa, FL
National Provider Identifier
1841267895
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
ME0029315 Issued in FL
Legal business name
MICHAEL A. SCANNON MD PA
Practice address
4200 N Armenia Ave
Suite 1
Tampa, FL 33607-6438
Phone
(813) 877-4811
Fax
(813) 872-8978
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Michael Anthony Scannon, MD
Title
Physician/Owner
Phone
(813) 877-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X ME0029315 FL Primary

Addresses

Primary practice location

4200 N Armenia Ave
Suite 1
Tampa, FL 33607-6438

Mailing address

4200 N Armenia Ave
Suite 1
Tampa, FL 33607-6438
Phone (813) 877-4811

National Provider Directory

National Provider Directory

Locations

13732 17th St
Dade City, FL 33525
Phone (800) 809-4811

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1841267895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076438",
            "telephone_number": "813-877-4811",
            "fax_number": "813-872-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076438",
            "telephone_number": "813-877-4811",
            "fax_number": "813-872-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. SCANNON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "SCANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "813-877-4811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0029315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.