SCOTT R HANNUM DO PL – NPI #1356448534
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

SCOTT R HANNUM DO PL is a surgeon located in KISSIMMEE, FL. NPPES has assigned the NPI number 1356448534 to SCOTT R HANNUM DO PL on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SCOTT R HANNUM DO PL” is a dba name, the actual legal business name for this organization is THE VASCULAR CLINIC & COSMETIC VEIN TREATMENT CENTER PL. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Jun 01, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SCOTT R HANNUM DO PL below.

NPI Profile for
THE VASCULAR CLINIC & COSMETIC VEIN TREATMENT CENTER PL

NPI Number
1356448534
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE VASCULAR CLINIC & COSMETIC VEIN TREATMENT CENTER PL
Doing Business As (dba): SCOTT R HANNUM DO PL
Primary location
720 W OAK ST STE 309
KISSIMMEE, FL 34741-4910
Phone: (407) 518-4982 Fax: (407) 518-1748
Mailing address
PO BOX 620696
ORLANDO, FL 32862-0696
Phone: (407) 518-4982 Fax: (407) 518-1748
Organization Subpart
No
Authorized Official
SCOTT HANNUM
PRESIDENT
Phone: (407) 518-4982
Updated
Certification Date
Jun 01, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SCOTT R HANNUM DO PL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSFL17027
MEDICAIDFL264703600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
FL OS8740

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.