John Paul Vidolin M D P a

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JOHN PAUL VIDOLIN M D P A

Practice address

836 Sunset Lake Blvd
Ste 102
Venice, FL 34292-7555

Phone

(941) 497-1771

Fax

(941) 497-1860

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

John Paul Vidolin, MD

Title

Cfo

Phone

(941) 497-1771

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1336120484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STE 102",
            "address_2": "836 SUNSET LAKE BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927555",
            "telephone_number": "941-497-1771",
            "fax_number": "941-497-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 SUNSET LAKE BLVD",
            "address_2": "STE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927555",
            "telephone_number": "941-497-1771",
            "fax_number": "941-497-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL VIDOLIN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "VIDOLIN",
        "authorized_official_first_name": "JOHN PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-497-1771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FLORIDA",
            "identifier": "45975",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristopher L Jensen, M.D.
• Phyllis K. Jensen, PSY.D.
• Dixie Jernigan, DMD
• Lindsey Job, MD
• John H. Bennett, DC, PA
• John R. Cassidy, M.D., P.a.
• Johnson Medical Center of Venice, Inc.
• Sandra Jean Johnson-Hill, LMT, NMT
• Elizabeth Johnson
• Jeffrey P. Johnson, D.C.

• Orthopaedic Surgery Physician in Venice, FL
• Providers in Venice, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.