Scott A Rodger (NPI# 1467445221, PAC ID# 8628101482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1467445221 |
PAC ID by PECOS | 8628101482 |
Professional Enrollment ID | I20100729000838 |
Full Name | Scott A Rodger |
Address |
2200 S Bay St Unit A Eustis FL 32727-1887 |
Phone Number | 3524831466 |
Gender | M |
Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1987 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100057 | FLORIDA HOSPITAL WATERMAN |
Address | Phone | Organization |
---|---|---|
2200 S Bay St, Unit A, Eustis, FL 32727-1887 | 3524831466 |
Street Address |
2200 S BAY ST UNIT A |
City | EUSTIS |
State | FL |
Zip | 32727-1887 |
City | EUSTIS |
Zip Code | 32727 |
Specialty | FAMILY MEDICINE |
City + Specialty | EUSTIS + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.