Individual provider Active NPI

Elaine C Sharp, M.D.

  • Gynecology Physician
  • Gulf Breeze, FL
National Provider Identifier
1356342786
Registry record updated Oct 5, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Oct 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME55013 Issued in FL
Practice address
1395 El Rito Dr
Gulf Breeze, FL 32563-6707
Phone
(850) 733-9343
Fax
(850) 733-9446
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036107352 IL
Obstetrics & Gynecology Physician 207V00000X 55013 FL
Gynecology Physician 207VG0400X ME55013 FL Primary

Addresses

Primary practice location

1395 El Rito Dr
Gulf Breeze, FL 32563-6707

Mailing address

1395 El Rito Dr
Gulf Breeze, FL 32563-6707
Phone (850) 733-9343

Other identifiers 1

IdentifierTypeStateIssuer
010815000MedicaidFL

Other names 1

  • Elaine C Arbach Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55013FLMDObstetrics & Gynecology Physician
036107352ILMDObstetrics & Gynecology Physician
ME55013FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Corporation of Southern Illinois Inc. Obstetrics & Gynecology Past Accepting new patients
Sacred Heart Health System Inc PastSince Mar 1, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1356342786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 EL RITO DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325636707",
            "telephone_number": "850-733-9343",
            "fax_number": "850-733-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 EL RITO DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325636707",
            "telephone_number": "850-733-9343",
            "fax_number": "850-733-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "ELAINE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036107352",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "55013",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME55013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010815000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "ARBACH",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.