SCOTT DOUGLAS DISTLER (NPI# 1538659537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538659537 |
Entity Type | Individual |
Full Name | SCOTT DOUGLAS DISTLER |
Credential | HEARING SPECIALIST |
Practice Address |
7512 Dr Phillips Blvd Orlando FL 32819-5131 |
Mailing Address |
750 Hempstead Ave Orlando FL 32803-6522 |
Practice Telephone | 4078496520 |
Practice Fax Number | 4078496522 |
Mailing Telephone | 4073757268 |
Enumeration Date | 2018-05-15 |
Last Update Date | 2018-05-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | AS5171 | FL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
7512 DR PHILLIPS BLVD |
City | ORLANDO |
State | FL |
Zip Code | 32819-5131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134517675 | Lucinda Ferreira Sr. | Behavioral Analyst | 7512 Dr Phillips Blvd, Suite 50-232, Orlando, FL 32819-5131 | 2015-01-07 |
1780135673 | Alyssa Plassman | Speech-Language Pathologist | 7512 Dr Phillips Blvd, Box 50-703, Orlando, FL 32819-5131 | 2016-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
Find all providers in zip 32819 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538668645 | Victoria Lopez | Specialist/Technologist, Other | 11624 Rouse Run Cir, Orlando, FL 32817-4554 | 2018-02-04 |
1790041200 | Nicole Rich | Specialist/Technologist, Other | 501 E King St, 2nd Floor, Orlando, FL 32803-1205 | 2012-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508476029 | Lauren Elizabeth Linda | Specialist/Technologist, Other | 1110 Airport Blvd Ste B, Pensacola, FL 32504-8608 | 2020-08-10 |
1265067839 | Delmar Diagnostics LLC | Specialist/Technologist, Other | 1001 Brickell Bay Dr Ste 2700, Miami, FL 33131-4940 | 2020-03-04 |
1518458421 | Brittani Marie Brown | Specialist/Technologist, Other | 4851 Glenburne Dr, Spring Hill, FL 34609-0569 | 2018-05-25 |
1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
1811496920 | Kristen M Mendoza | Specialist/Technologist, Other | 108 N Coopers Hawk Way, Palm Coast, FL 32164-2312 | 2018-02-04 |
1982103149 | Kristy A Rattanavong I | Specialist/Technologist, Other | 450 Brentwood Club Cv, Longwood, FL 32750-3354 | 2018-02-02 |
1205377645 | Alyssa Franco | Specialist/Technologist, Other | 2400 Grand Poplar St, Ocoee, FL 34761-7642 | 2017-03-18 |
1497294086 | Roxanne Notte | Specialist/Technologist, Other | 2110 Bayberry Dr, Pembroke Pines, FL 33024-1405 | 2017-02-16 |
1750828810 | Maritza De La Caridad Hernandez Perez | Specialist/Technologist, Other | 444 Alemeda Dr, Palm Springs, FL 33461-1504 | 2017-01-27 |
1508300625 | Stacey Menard | Specialist/Technologist, Other | 415 Ne 2nd St Apt 120, Hallandale Beach, FL 33009-4363 | 2016-12-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.