Organization Active NPI

Orbital and Oculo Facial Consultants, PA

  • Plastic and Reconstructive Surgery Physician
  • Sarasota, FL
National Provider Identifier
1407057805
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME86808 Issued in FL
Legal business name
ORBITAL AND OCULO FACIAL CONSULTANTS, PA
Practice address
2088 Hawthorne St
Sarasota, FL 34239-2307
Phone
(941) 953-5050
NPI assigned
May 31, 2007
Last updated
Sep 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Dr. Nicholas MonsulNPI 1154325439
Title
Owner
Phone
(941) 870-2057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME86808 FL Primary

Addresses

Primary practice location

2088 Hawthorne St
Sarasota, FL 34239-2307

Mailing address

2088 Hawthorne Street
Suite #201
Sarasota, FL 34239-2307
Phone (941) 953-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070813000501 FL Part B Supplier - Clinic/Group Practice 6204888282 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory
Tax ID family
Orbital and Oculo Facial Consultants PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2068 Hawthorne St
Sarasota, FL 34239
Phone (941) 870-2057

2068 Hawthorne St
Ste 201
Sarasota, FL 34239
Phone (941) 870-2057

2088 Hawthorne St
Sarasota, FL 34239
Phone (941) 953-5050

2088 Hawthorne St
Ste 201
Sarasota, FL 34239

5899 Whitfield Ave
Ste 104
Sarasota, FL 34243
Phone (941) 320-8845

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1407057805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 HAWTHORNE STREET",
            "address_2": "SUITE #201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392307",
            "telephone_number": "941-953-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 HAWTHORNE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392307",
            "telephone_number": "941-953-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBITAL AND OCULO FACIAL CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "MONSUL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-870-2057",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME86808",
            "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 20, 2013; 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.