Organization Active NPI

University Family Healthcare PA

  • Primary Care Clinic/Center
  • Sarasota, FL
National Provider Identifier
1144402876
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2398 Issued in FL
Legal business name
UNIVERSITY FAMILY HEALTHCARE PA
Practice address
2401 University Pkwy Ste 100
Sarasota, FL 34243-2894
Phone
(941) 351-2020
Fax
(941) 360-1362
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Loren S Carlson, DONPI 1902829419
Title
President
Phone
(941) 351-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2398 FL Primary

Addresses

Primary practice location

2401 University Pkwy Ste 100
Sarasota, FL 34243-2894

Mailing address

2401 University Pkwy Ste 100
Sarasota, FL 34243-2894
Phone (941) 351-2020

Other identifiers 1

IdentifierTypeStateIssuer
258501400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000249 FL Part B Supplier - Clinic/Group Practice 6901820018 Receives reassigned benefits from 5 practitioners
Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory

Locations

6731 Professional Pkwy
Ste 100
Lakewood Ranch, FL 34240
Phone (941) 351-2020

2401 University Pkwy
Ste 100
Sarasota, FL 34243
Phone (941) 351-2020

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1144402876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432894",
            "telephone_number": "941-351-2020",
            "fax_number": "941-360-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432894",
            "telephone_number": "941-351-2020",
            "fax_number": "941-360-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FAMILY HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-351-2020",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "2398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258501400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.