SCOTT L BEALS (NPI# 1912000464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912000464 |
| Entity Type | Individual |
| Full Name | SCOTT L BEALS |
| Credential | D.O. |
| Practice Address |
4566 E Highway 20 Suite 101 Niceville FL 32578-8838 |
| Practice Telephone | 8508977546 |
| Practice Fax Number | 8508977547 |
| Mailing Telephone | 8508977546 |
| Mailing Fax Number | 8508977547 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
OS7143 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266706100 | 05 | |
| FL | FLORIDA MEDICARE PTAN # | 13586Y | 01 |
| Street Address |
4566 E HIGHWAY 20 SUITE 101 |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-8838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040452 | Karen Henard Carter | Chiropractor | 4566 E Highway 20, Ste 205, Niceville, FL 32578-8839 | 2005-06-01 |
| 1588103949 | Janeal T Musser | Nurse Practitioner | 4566 E Highway 20, Suite 102, Niceville, FL 32578-8838 | 2017-02-18 |
| 1023412152 | Therapeutic Connections L.L.C. | Occupational Therapist | 4566 E Highway 20, Suite 205, Niceville, FL 32578-8838 | 2014-10-17 |
| 1568886406 | James Darryl Smith | Physician Assistant | 4566 E Highway 20, Niceville, FL 32578-8838 | 2014-02-12 |
| 1093066565 | Emerald Coast Health Institute, Inc. | Clinic/Center | 4566 E Highway 20, Niceville, FL 32578-8838 | 2012-09-25 |
| 1699989301 | Scott Beals Do Pa | Dermatology | 4566 E Highway 20, Suite 101, Niceville, FL 32578-8838 | 2007-05-10 |
| 1386711885 | Catherine Mary O'connell | Nurse Practitioner | 4566 E Highway 20, Suite 101, Niceville, FL 32578-8838 | 2006-11-29 |
| 1902970197 | William Abernathy Md Pa | Internal Medicine | 4566 E Highway 20, Ste. 105, Niceville, FL 32578-8838 | 2006-11-20 |
| 1316961881 | William Abernathy | Internal Medicine | 4566 E Highway 20, Suite 105, Niceville, FL 32578-8838 | 2006-07-27 |
| 1477587145 | In Your Dreams International Inc | Psychiatry & Neurology | 4566 E Highway 20, Suite 108, Niceville, FL 32578-8838 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646930 | Neil Sandhu Pa | Dermatology | 1431 Orange Camp Rd Ste 115, Deland, FL 32724-7770 | 2020-07-08 |
| 1801369020 | Venice Dermatology Clinic Pa | Dermatology | 3171 Bobcat Village Center Rd, North Port, FL 34288-8974 | 2019-01-10 |
| 1548739246 | Associates & Affiliates In Dermatology LLC | Dermatology | 5210 Webb Rd Ste B, Tampa, FL 33615-4518 | 2018-11-26 |
| 1558836445 | Docta LLC | Dermatology | 5200 S University Dr Ste 102a, Davie, FL 33328-5316 | 2018-10-08 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1609215912 | Nosky P.a. | Dermatology | 512 Cypress Parkway, Poinciana, FL 34759 | 2013-06-19 |
| 1487098059 | Jason R Rosen | Dermatology | 4675 Linton Blvd Ste 203b, Delray Beach, FL 33445-6615 | 2013-04-25 |
| 1881964864 | Harold Edward Garber | Dermatology | 605 San Marco Dr, Fort Lauderdale, FL 33301-2547 | 2012-01-06 |
| 1245523414 | Sanchez Dermatology Services | Dermatology | 420 N Plant Ave, Plant City, FL 33563-7248 | 2011-05-22 |
| 1316244379 | Teresa C Rey | Dermatology | 3760 Sw 139th Pl, Miami, FL 33175-6749 | 2011-02-26 |
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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.