Organization Active NPI

Michelle R Scargle MD PA

Doing business as Concord Health

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1962678383
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
92792 Issued in FL
Legal business name
MICHELLE R SCARGLE MD PA
Doing business as
Concord Health
Practice address
2454 N McMullen Booth Rd Ste 501-504
Clearwater, FL 33759-1353
Phone
(727) 285-8770
Fax
(727) 285-8774
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Authorized official

Name
Scott Scargle
Title
Practice Manager
Phone
(727) 514-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 92792 FL Primary

Addresses

Primary practice location

2454 N McMullen Booth Rd Ste 501-504
Clearwater, FL 33759-1353

Mailing address

2454 N McMullen Booth Rd Ste 502
Clearwater, FL 33759-1340
Phone (727) 285-8770

Other names 1

  • Concord Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081028000749 FL Part B Supplier - Clinic/Group Practice 9436217841 Receives reassigned benefits from 6 practitioners
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

3023 Eastland Blvd
Ste 106
Clearwater, FL 33761
Phone (727) 265-1781

2454 N McMullen Booth Rd
Bldg C
Clearwater, FL 33759

2454 N McMullen Booth Rd
Ste 502
Clearwater, FL 33759
Phone (727) 265-8770

2454 N McMullen Booth Rd
Ste 501504
Clearwater, FL 33759
Phone (727) 285-8770

1497 Main St
Dunedin, FL 34698
Phone (727) 479-6041

Practitioners & affiliated clinicians

Practitioners 9

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724544000000",
    "number": "1962678383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 502",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591340",
            "telephone_number": "727-285-8770",
            "fax_number": "727-285-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 501-504",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-285-8770",
            "fax_number": "727-285-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE R SCARGLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "SCARGLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-514-0065"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "92792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.