Organization Active NPI

D. Scott Rotatori, M.D., P.a.

  • Specialist
  • Winter Park, FL
National Provider Identifier
1912075003
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0051444 Issued in FL
Legal business name
D. SCOTT ROTATORI, M.D., P.A.
Practice address
800 W Morse Blvd
Suite 5
Winter Park, FL 32789-3797
Phone
(407) 628-5476
Fax
(407) 628-4108
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Lisa D Hall
Title
Accounts Receivable
Phone
(407) 628-5476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0051444 FL Primary

Addresses

Primary practice location

800 W Morse Blvd
Suite 5
Winter Park, FL 32789-3797

Mailing address

800 W Morse Blvd
Suite 5
Winter Park, FL 32789-3797
Phone (407) 628-5476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110000578 FL Part B Supplier - Clinic/Group Practice 0446273049 Receives reassigned benefits from 2 practitioners
Practice locations: Winter Park, FL

National Provider Directory

National Provider Directory

Locations

800 W Morse Blvd
Ste 5
Winter Park, FL 32789
Phone (407) 628-5476

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1912075003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MORSE BLVD",
            "address_2": "SUITE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893797",
            "telephone_number": "407-628-5476",
            "fax_number": "407-628-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MORSE BLVD",
            "address_2": "SUITE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893797",
            "telephone_number": "407-628-5476",
            "fax_number": "407-628-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. SCOTT ROTATORI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "407-628-5476",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0051444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.