Organization Active NPI

Scooter Doctor, Inc.

Doing business as The Scooter Doctor

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1972513877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312807 Issued in FL
Legal business name
SCOOTER DOCTOR, INC.
Doing business as
The Scooter Doctor
Practice address
3435 Phillips Hwy
Suite A301
Jacksonville, FL 32207-5615
Phone
(904) 399-1313
Fax
(904) 399-3392
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Stephen M Goudy
Title
President
Phone
(904) 399-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312807 FL Primary

Addresses

Primary practice location

3435 Phillips Hwy
Suite A301
Jacksonville, FL 32207-5615

Mailing address

3435 Phillips Hwy
Suite A301
Jacksonville, FL 32207-5615
Phone (904) 399-1313

Other names 1

  • The Scooter Doctor Doing business as

National Provider Directory

National Provider Directory

Locations

3435 Philips Hwy
Ste A301
Jacksonville, FL 32207
Phone (904) 399-1313

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972513877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 PHILLIPS HWY",
            "address_2": "SUITE A301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075615",
            "telephone_number": "904-399-1313",
            "fax_number": "904-399-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 PHILLIPS HWY",
            "address_2": "SUITE A301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075615",
            "telephone_number": "904-399-1313",
            "fax_number": "904-399-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER DOCTOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUDY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-399-1313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Scooter Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.