Kenneth a Giraldo MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME71677 Issued in FL

Legal business name

KENNETH A GIRALDO MD PA

Practice address

5831 Bee Ridge Rd
Suite 100
Sarasota, FL 34233-5088

Phone

(941) 343-1040

Fax

(941) 343-1042

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth A Giraldo, MDNPI 1326032061

Title

President

Phone

(941) 343-1040

Specialties & licenses 1

Addresses

Other identifiers 6

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.

• Kenneth Alejandro Giraldo, M.D.,P.A

  • Specialist
  • Sarasota, FL
  • NPI 1326032061
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1376508317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 BEE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335088",
            "telephone_number": "941-343-1040",
            "fax_number": "941-343-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 BEE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335088",
            "telephone_number": "941-343-1040",
            "fax_number": "941-343-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A GIRALDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-343-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME71677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "215811",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00075216",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "158358",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44888",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2965791",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL LIFE",
            "identifier": "N80009-4201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Kennedy, M.D.
• Kimberly Kennedy, MPT
• Scott Wilmot Kennedy, ARNP
• Shelly C. Kennedy, D.C.
• William R Kennedy III, MD
• Kenneth Liszowski DMD PA
• Catherine E Kenny, MD
• Kensington Manor - Sarasota FL LLC
• Martin Kent, PA-C
• Randy Lee Kent, AP, RN

• Specialist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.