NPIMap

Organization Active NPI

Manatee Surgical Specialists PA

  • Specialist
  • Bradenton, FL
National Provider Identifier
1295811123
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME37646 Issued in FL
Legal business name
MANATEE SURGICAL SPECIALISTS PA
Practice address
201 4TH Ave E
Suite 2
Bradenton, FL 34208-1043
Phone
(941) 748-6099
Fax
(941) 747-5061
NPI assigned
Oct 31, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Dr. A. Samir Hassan, MDNPI 1407805989
Title
President
Phone
(941) 748-6099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME37646 FL Primary

Addresses

Primary practice location

201 4TH Ave E
Suite 2
Bradenton, FL 34208-1043

Mailing address

201 4TH Ave E
Suite 2
Bradenton, FL 34208-1043
Phone (941) 748-6099

Other identifiers 1

IdentifierTypeStateIssuer
CH3341OtherFLRAILROAD MEDICARE FLORIDA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1295811123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 4TH AVE E",
            "address_2": "SUITE 2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081043",
            "telephone_number": "941-748-6099",
            "fax_number": "941-747-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH AVE E",
            "address_2": "SUITE 2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081043",
            "telephone_number": "941-748-6099",
            "fax_number": "941-747-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE SURGICAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-748-6099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME37646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE FLORIDA",
            "identifier": "CH3341",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.