Organization Active NPI

Cristiana G Scridon MD PL

  • Cardiovascular Disease Physician
  • Vero Beach, FL
National Provider Identifier
1851523328
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME93767 Issued in FL
Legal business name
CRISTIANA G SCRIDON MD PL
Practice address
1300 36TH St Ste D
Vero Beach, FL 32960-4898
Phone
(772) 226-7380
Fax
(772) 212-0205
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Authorized official

Name
Cristiana G Scridon, MDNPI 1356399851
Title
Physician/President
Phone
(772) 226-7380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME93767 FL Primary

Addresses

Primary practice location

1300 36TH St Ste D
Vero Beach, FL 32960-4898

Mailing address

1300 36TH St Ste D
Vero Beach, FL 32960-4898
Phone (772) 226-7380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211119000381 FL Part B Supplier - Clinic/Group Practice 3476942095 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

13230 US Highway 1
Sebastian, FL 32958
Phone (772) 388-3911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1851523328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-226-7380",
            "fax_number": "772-212-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-226-7380",
            "fax_number": "772-212-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTIANA G SCRIDON MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "SCRIDON",
        "authorized_official_first_name": "CRISTIANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "772-226-7380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME93767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.