Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Scott R Hannum, DO

Individual provider Vascular Surgery Physician · NPI 1679595615

Dr. Scott R Hannum, DO is a Vascular Surgery in Kissimmee, Florida. Graduated from Michigan State University College of Osteopathic Medicine in 1994, 32 years ago. Practices with The Vascular Clinic and Cosmetic Vein Treatment Center Pl, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
32
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

720 W Oak St Ste 309
Kissimmee, FL 34741-4910
Phone: (407) 518-4982
Fax: (407) 518-1748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence OS8740 (FL)

Record details

NPI number1679595615
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1994 (32 years in practice)
Group practice The Vascular Clinic And Cosmetic Vein Treatment Center Pl — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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