Active NPI
Russell Scott Vega, M.D.
- Forensic Pathology Physician
- Sarasota, FL
National Provider Identifier
1912221425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 0064200
- Practice address
- 2001 Siesta Dr Ste 302
Sarasota, FL 34239-5200 - Phone
- (941) 361-6909
- Fax
- (941) 361-6914
- NPI assigned
- Mar 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 0064200 | FL | Primary |
Addresses
Primary practice location
2001 Siesta Dr Ste 302
Sarasota, FL 34239-5200
Mailing address
2001 Siesta Dr Ste 302
Sarasota, FL 34239-5200
Phone (941) 361-6909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0064200 | FL | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1912221425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SIESTA DR STE 302",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395200",
"telephone_number": "941-361-6909",
"fax_number": "941-361-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SIESTA DR STE 302",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395200",
"telephone_number": "941-361-6909",
"fax_number": "941-361-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "RUSSELL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "FL",
"license": "0064200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.