Active NPI
Ujwala P Puranik, M.D.
- Pediatrics Physician
- Bradenton, FL
National Provider Identifier
1447213947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME128188
- Practice address
- 1515 26TH Ave E
Bradenton, FL 34208-7707 - Phone
- (941) 708-8600
- Fax
- (941) 708-7645
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME128188 | FL | Primary |
Addresses
Primary practice location
1515 26TH Ave E
Bradenton, FL 34208-7707
Mailing address
700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001198498 | Medicaid | CT |
Other names 1
- Dr. Ujwala D Sheth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME128188 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1447213947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 8TH AVE W STE 101",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214737",
"telephone_number": "941-776-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 26TH AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342087707",
"telephone_number": "941-708-8600",
"fax_number": "941-708-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURANIK",
"first_name": "UJWALA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME128188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001198498",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "UJWALA",
"last_name": "SHETH",
"middle_name": "D",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.