Active NPI
Thomas Alan Jennings, M.D./PH.D.
- Dermatology Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME163511
- Practice address
- 2001 Siesta Dr Ste 201
Sarasota, FL 34239-5200 - Phone
- (813) 321-1786
- Fax
- (813) 321-1787
- NPI assigned
- Apr 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME163511 | FL | Primary |
Addresses
Primary practice location
2001 Siesta Dr Ste 201
Sarasota, FL 34239-5200
Mailing address
18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Arkansas College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3443 Tamiami TRL
Suite 1a
Port Charlotte, FL 33952-8159
Phone (813) 321-1786
500 S University Ave
Suite 301
Little Rock, AR 72205-5307
Phone (501) 664-4161
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 82 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 896 |
| Removal of skin cancer | 292 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 219 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Dermatology | Current | Accepting new patients |
| Suncoast Skin Solutions | Dermatology | Current | Accepting new patients |
| Douglas K Pierce MD PA | Past | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
2467 Enterprise Rd
Ste A
Clearwater, FL 33763
Phone (727) 350-2949
4651 Van Dyke Rd
Lutz, FL 33558
18228 N US Highway 41
Lutz, FL 33549
3443 Tamiami Trl
Ste 1A
Port Charlotte, FL 33952
25097 Olympia Ave
Ste 202
Punta Gorda, FL 33950
Phone (941) 205-3376
2001 Siesta Dr
Ste 201
Sarasota, FL 34239
Phone (941) 365-5582
5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001
11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786
Networks
- Freedom Health HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Lutz, FL
- NPI 1487827416
-
- Dermatology Physician
- Little Rock, AR
- NPI 1215005731
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Dermatology
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Procedural Dermatology Physician
- Largo, FL
- NPI 1053515379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1326365735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18228 N US HIGHWAY 41",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494400",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SIESTA DR STE 201",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342395200",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "THOMAS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D./PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-24",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME163511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- Pauline Spring Jenkins, ARNP
- Lisa A Jennay, LMFT
- Jennifer J Chiavetta-Grisanti DC Professional Association
- Jennifer Maecker Acuuncture LLC
- Courtney Jennings
- Denise Ann Jensen, CCC-SLP
- Karen Jensen, ARNP
- Anne Marie Jetton, MSN, APRN, AGPC-C
- Donald Allen Jewell, PA-C
- Jewish Family & Childrens Service of the Suncoast Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.