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Deactivated NPI 1265549778 Deactivated / Inactive NPI Male Practitioner

Dr. Paul John Scioscia , MD

Specialist • Ponte Vedra Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Scioscia has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2006
NPI Deactivation Date January 04, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Scioscia, MD was a registered Specialist practicing in Ponte Vedra Beach, FL. Throughout an active medical career spanning 12 years, Dr. Scioscia provided care at the practice location at 209 PONTE VEDRA PARK DR. until profile deactivation on 2018-01-04.

Practice Location & Contact Primary Location

Practice Address

209 Ponte Vedra Park Dr.

Ponte Vedra Beach, FL 32082

Telephone 9042736200
Fax 9042808013
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Ponte Vedra Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Ponte Vedra Beach, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME69546

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Brett Snyder , MD

Plastic Surgery

NPI 1053428466

Doctor of Medicine (M.D.)

Claudette Walker , ARNP

Nurse Practitioner

NPI 1083993893

Advanced Registered Nurse Practitioner

Connie Jongewaard , MSN, ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1164795746

Master of Science in Nursing, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

NPI 1174630644

Doctor of Medicine (M.D.)

Ashley Michaux , ARNP

Nurse Practitioner - Family

NPI 1184049058

Advanced Registered Nurse Practitioner

Dr. Ellen Hancock , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1316392905

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 04, 2018

Record deactivated on January 04, 2018

NPI Profile Active October 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2013

Registered at 209 PONTE VEDRA PARK DR., PONTE VEDRA BEACH, FL 32082 (Tel: 9042736200)

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Updated Business Mailing Address October 11, 2013

Registered at 209 PONTE VEDRA PARK DR., PONTE VEDRA BEACH, FL 32082 (Tel: 9042736200)

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Provider Name / Credentials Updated October 11, 2013

Recorded as PAUL SCIOSCIA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2013

Specialist (License #ME69546 in FL)

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Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265549778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: October 11, 2013
Deactivation Date: January 04, 2018

Mailing Address

209 Ponte Vedra Park Dr.

Ponte Vedra Beach, FL 32082

Phone: 9042736200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.