Individual provider Active NPI

Jason Walsh, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1386013498
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11593 Issued in FL
Practice address
5922 Cattlemen LN Ste 102
Sarasota, FL 34232-6204
Phone
(941) 487-8118
NPI assigned
Sep 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11593 FL Primary

Addresses

Primary practice location

5922 Cattlemen LN Ste 102
Sarasota, FL 34232-6204

Mailing address

5922 Cattlemen LN Ste 102
Sarasota, FL 34232-6204
Phone (941) 487-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712001741 FL Practitioner - Chiropractic 0345519021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ChirostandardGroup PAC ID 0749326999, 2 clinicians

Practice addresses (Care Compare)

1962 Main St
Unit 100
Sarasota, FL 34236-9516
Phone (941) 487-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CH 11593FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirostandard Chiropractor CurrentSince May 23, 2017 Accepting new patients

Locations

1962 Main St
Unit 100
Sarasota, FL 34236
Phone (941) 321-7927

5922 Cattlemen Ln
Ste 102
Sarasota, FL 34232
Phone (941) 487-8118

Organizations & group practices 1

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": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1386013498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 CATTLEMEN LN STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326204",
            "telephone_number": "941-487-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 CATTLEMEN LN STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326204",
            "telephone_number": "941-487-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.