Center One Medical, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CENTER ONE MEDICAL, LLC

Practice address

3900 Clark Rd Ste L2
Sarasota, FL 34233-2375

Phone

(941) 210-0248

Fax

(941) 210-0247

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

John Yee, MDNPI 1225094071

Title

Ceo

Phone

(941) 210-0248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John S Yee, MD

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1225094071
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1205528569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE L2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332375",
            "telephone_number": "386-214-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD STE L2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332375",
            "telephone_number": "941-210-0248",
            "fax_number": "941-210-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER ONE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-210-0248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.