Active NPI
American Dermatology Associates Inc
- MOHS-Micrographic Surgery Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME92484
- Legal business name
- AMERICAN DERMATOLOGY ASSOCIATES INC
- Practice address
- 5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050 - Phone
- (941) 379-6647
- Fax
- (941) 379-0611
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer T Plush, MD
- Title
- President
- Phone
- (941) 379-6647
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) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME92484 | FL | Primary |
Addresses
Primary practice location
5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050
Mailing address
5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050
Phone (941) 379-6647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050910000063 | FL | Part B Supplier - Clinic/Group Practice | 4688606650 |
Receives reassigned benefits from 3 practitioners Practice locations: Sarasota, FL |
National Provider Directory
National Provider DirectoryLocations
5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864
5969 Cattleridge Blvd
Ste 102
Sarasota, FL 34232
Phone (941) 377-9993
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Venice, FL
- NPI 1669471959
FL
-
- Dermatology Physician
- Wilmington, NC
- NPI 1154578797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1225065741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5969 CATTLERIDGE BLVD STE 102",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326050",
"telephone_number": "941-379-6647",
"fax_number": "941-379-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5969 CATTLERIDGE BLVD STE 102",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326050",
"telephone_number": "941-379-6647",
"fax_number": "941-379-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN DERMATOLOGY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "PLUSH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-379-6647",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME92484",
"primary": true
}
],
"identifiers": [],
"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 Apr 28, 2025; 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.