Sarasota Neurology P a

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

OS5188 Issued in FL

Legal business name

SARASOTA NEUROLOGY P A

Practice address

3501 Cattlemen Rd
Suite B
Sarasota, FL 34232-6055

Phone

(941) 955-5858

Fax

(941) 955-0044

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

V Daniel Kassicieh, D.O.NPI 1457381808

Title

President, Owner

Phone

(941) 955-5858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• V Daniel Kassicieh, D.O.

  • Neurology Physician
  • Sarasota, FL
  • NPI 1457381808
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1356554158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CATTLEMEN RD",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326055",
            "telephone_number": "941-955-5858",
            "fax_number": "941-955-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CATTLEMEN RD",
            "address_2": "SUITE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326055",
            "telephone_number": "941-955-5858",
            "fax_number": "941-955-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA NEUROLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "KASSICIEH",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "941-955-5858",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS5188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarasota Memorial Home Care Inc
• Sarasota Memorial Home Care, Inc.
• Sarasota Memorial Hospital
• Sarasota Menopause Specialist
• Sarasota Minds LLC
• Sarasota Neurosurgery PA
• Sarasota Nutrition Center LLC
• Sarasota OB GYN Associates, PA
• Sarasota Opco, LLC
• Sarasota Ophthalmology ASC LLC

• Neurology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.