KEVIN REID SCYOC (NPI# 1821623000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821623000 |
| Entity Type | Individual |
| Full Name | KEVIN REID SCYOC |
| Credential | CEO, PM-C, COHC, RMA |
| Practice Address |
461 Western Blvd Ste 122 Jacksonville NC 28546-7637 |
| Practice Telephone | 9103330283 |
| Practice Fax Number | 9103330513 |
| Mailing Telephone | 9103330283 |
| Mailing Fax Number | 9103330513 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 497657 | NC | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
461 WESTERN BLVD STE 122 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-7637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548211444 | Frank Lovato | Physician Assistant | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2006-05-15 |
| 1568069748 | Seth Jaussen | Physician Assistant | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-10-01 |
| 1518575638 | Julia Whitaker | Nurse Practitioner | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-07-14 |
| 1982220745 | Meagan Love | Physician Assistant | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-06-17 |
| 1386267243 | Jakob Probst | Physician Assistant | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-05-26 |
| 1104448554 | Amber Victoria Farlow | Physician Assistant | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-05-08 |
| 1194350827 | Amanda Allison | Nurse Practitioner | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-03-03 |
| 1699306159 | Rebecca Carolyn Charnley | Physician Assistant | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-02-03 |
| 1629608039 | Rebecca Ann Gates | Physician Assistant | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-01-24 |
| 1396375523 | Regina Yost | Nurse Practitioner | 461 Western Blvd Ste 122, Jacksonville, NC 28546-7637 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1508114406 | Loy P Scruggs Jr. | Specialist/Technologist, Other | 3313 County Road 4216, Jacksonville, TX 75766-7334 | 2012-08-27 |
| 1821614389 | Megan L Minser | Specialist/Technologist, Other | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-06-22 |
| 1306483425 | Evonna Almtanious | Specialist/Technologist, Other | 6410 Beach Blvd, Jacksonville, FL 32216-2813 | 2019-12-09 |
| 1154801496 | Kelsea Mitchell | Specialist/Technologist, Other | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2018-08-16 |
| 1972014546 | Emily Ann Krieg | Specialist/Technologist, Other | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-10-23 |
| 1770016115 | Premier Neuro Therapy LLC | Specialist/Technologist, Other | 14255 Beach Blvd, Jacksonville, FL 32250-1576 | 2017-04-04 |
| 1295195758 | Rebecca Riemer | Specialist/Technologist, Other | 2227 West Main Street, Suite 3, Jacksonville, AR 72076 | 2016-02-26 |
| 1881090983 | Jessie Battles | Specialist/Technologist, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2014-11-17 |
| 1295131399 | Misty Angelique Roetzel | Specialist/Technologist, Other | 2227 W Main St, Suite 3, Jacksonville, AR 72076-4207 | 2014-11-17 |
| 1972898146 | Barbara Casey Medlin | Specialist/Technologist, Other | 714 New Bridge St, Jacksonville, NC 28540-5435 | 2011-06-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on KEVIN REID SCYOC.
| 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.