Organization Active NPI

Michaela G Scott MD and Associates

  • Durable Medical Equipment & Medical Supplies
  • Vero Beach, FL
National Provider Identifier
1942364476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
ME0025287 Issued in FL
Legal business name
MICHAELA G SCOTT MD AND ASSOCIATES
Practice address
1460 36TH St
Vero Beach, FL 32960-4849
Phone
(772) 562-7777
Fax
(772) 778-8117
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan Beach
Title
Administrator
Phone
(772) 770-4923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ME0025287 FL Primary

Addresses

Primary practice location

1460 36TH St
Vero Beach, FL 32960-4849

Mailing address

1460 36TH St
Vero Beach, FL 32960-4849
Phone (772) 562-7777

Other identifiers 1

IdentifierTypeStateIssuer
C08501402OtherFLSUBMITTER ID

Other names 1

  • Michaela G Scott, MD Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091228000596 FL Part B Supplier - Clinic/Group Practice 4183764079 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vero BCH, FL; Vero Beach, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1755 37th St
Vero Beach, FL 32960
Phone (770) 567-2443

1460 36th St
Vero Beach, FL 32960
Phone (772) 562-7777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942364476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604849",
            "telephone_number": "772-562-7777",
            "fax_number": "772-778-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604849",
            "telephone_number": "772-562-7777",
            "fax_number": "772-778-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELA G SCOTT MD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-770-4923"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ME0025287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID",
            "identifier": "C08501402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michaela G Scott, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.