Active NPI
Fredric Jarrett, M.D.,
- Surgery Physician
- Sarasota, FL
National Provider Identifier
1164422325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME124619
- Practice address
- 1888 Brother Geenen Way
Sarasota, FL 34236-7118 - Phone
- (941) 556-3220
- Fax
- (412) 681-8713
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD024651E | PA | |
| Vascular Surgery Physician | 2086S0129X | MD024651E | PA | |
| Surgery Physician | 208600000X | ME124619 | FL | Primary |
Addresses
Primary practice location
1888 Brother Geenen Way
Sarasota, FL 34236-7118
Mailing address
1900 Brother Geenen Way
Sarasota, FL 34236-7102
Phone (941) 556-3220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007833600004 | Medicaid | PA | |
| 441231048 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124619 | FL | MD | Surgery Physician |
| MD024651E | PA | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1164422325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 BROTHER GEENEN WAY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342367102",
"telephone_number": "941-556-3220",
"fax_number": "941-955-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1888 BROTHER GEENEN WAY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342367118",
"telephone_number": "941-556-3220",
"fax_number": "412-681-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "FREDRIC",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD024651E",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD024651E",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME124619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007833600004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "441231048",
"state": "PA"
}
],
"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 Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.