Organization Active NPI

American Dermatology Associates Inc

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1225065741
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME92484 Issued in FL
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

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Dr. Jennifer T Plush, MDNPI 1700818515
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)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20050910000063 FL Part B Supplier - Clinic/Group Practice 4688606650 Receives reassigned benefits from 3 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.