Clarence Scott, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME59756 Issued in FL

Practice address

1061 Medical Center Dr
Suite 101
Orange City, FL 32763-8200

Phone

(386) 917-5547

Fax

(386) 917-5569

NPI assigned

Jan 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1851437164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 VIHLEN RD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717736",
            "telephone_number": "407-491-5230",
            "fax_number": "407-324-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR",
            "address_2": "SUITE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638200",
            "telephone_number": "386-917-5547",
            "fax_number": "386-917-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2742845",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi L Scherer, DPT
• Louis Schmidt, PT, DPT
• Katelyn Schwartz
• Paul Thomas Scipioni, MSN, APRN, FNP-BC
• Amanda Scott
• Jeffrey Wayne Scott, ARNP
• Christian Rajiv Seedarnee, MD
• Peter G Selassie, MD
• Select Physical Therapy Holdings, Inc.
• Shelbi Sellers

• Internal Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.