Andrew M. Scanameo
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Tallahassee, FL
NPI 1851402986 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1851402986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- ME0072947 (FL)
- Legal business name
- ANDREW M. SCANAMEO
- Practice address
- 2565 Capital Medical Blvd
Tallahassee, FL 32308 - Phone
- (850) 906-9369
- Fax
- (850) 999-6563
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Matthew Scanameo, M.D.
- Title
- Dr.
- Phone
- (850) 510-1183
Practitioners 5
-
Andrew Matthew Scanameo, M.D.
-
Kathy Lynn White, APRN-C
-
Diana Lee Florin, ARNP-C
-
Judy A Harris, ARNP
-
Sherry Rowe, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041213000574 | FL | Part B Supplier - Clinic/Group Practice | 3779540687 |
Receives reassigned benefits from 2 practitioners Practice locations: Tallahassee, FL |
National Provider Directory
Locations
1839 Buford Ct
Ste B
Tallahassee, FL 32308
2626 Capital Medical Blvd
Ste 30
Tallahassee, FL 32308
Phone (850) 325-4900
1889 Professional Park Cir
Tallahassee, FL 32308
Phone (850) 325-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician |
207QA0505X | ME0072947 | FL | |
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | ME0072947 | FL | Yes |
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X |
Addresses
Primary practice location
2565 Capital Medical Blvd
Tallahassee, FL 32308
Mailing address
P.O. Box 16128
Tallahassee, FL 32317
Phone (850) 325-4900
Other practice location 1
2565 Capital Medical Blvd
Tallahassee, FL 32308-4423
Phone (850) 906-9369
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264319700 | Medicaid | FL |
Other providers in Tallahassee, FL
- Thomas Anderson
- Tonya Jean Anderson
- Andre F.a. Jawde, MD, PA
- Ashreil Andre
- Andrea'S Massage Temple LLC
- Donteris Andrews
- Juliette Andrews
- Kori S Andrews
- Maria Andrews
- Rebecca Leigh Andrews
All providers in Tallahassee, FL · Geriatric Medicine (Internal Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.