Surgical Associates of Venice and Englewood, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD, PA

Practice address

436 Nokomis Ave S
Venice, FL 34285-2617

Phone

(941) 488-7742

Fax

(941) 484-7756

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Debbie Long

Title

Practice Administrator

Phone

(941) 484-7506

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1485

Practitioners 4

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

• Issam Afif Halaby, M.D.,PH.D.

  • Surgery Physician
  • Venice, FL
  • NPI 1861566119
  Medicare reassignment Care Compare group NPD
• Andrew J Oliver, D.O.

  • Surgery Physician
  • Venice, FL
  • NPI 1659639672
  Medicare reassignment Care Compare group NPD
• Jennifer Bigelow, ARNP

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1942613054
  Medicare reassignment NPD
• Raymond Allen James, DO

  • Emergency Medicine Physician
  • Port Charlotte, FL
  • NPI 1285793232
  NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1376689232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-488-7742",
            "fax_number": "941-484-7756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342394501",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Jacaranda Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342924535",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1283 Jacaranda Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342924522",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 The Rialto",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852900",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Laurel Rd E",
            "address_purpose": "LOCATION",
            "city": "North Venice",
            "state": "FL",
            "postal_code": "342753226",
            "country_code": "US",
            "telephone_number": "941-445-5054",
            "fax_number": "941-303-6796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-484-7506",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00778",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB1948",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunshine Health Care Services, LLC
• Sunshine Pediatric Care
• Sunshine Sport and Spine, LLC
• Marguerite Marie Surette, M.A.
• Surety Inc.
• Surgicare of St Andrews LTD
• Susan Gammon PT, LLC
• SW Pain & Wellness Center, Inc.
• Steven Michael Swann, DPT
• Rebecca Swartz, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.