Organization Active NPI

Pediatrics of Sarasota

  • Pediatrics Physician
  • Sarasota, FL
National Provider Identifier
1457400780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0076197 Issued in FL
Legal business name
PEDIATRICS OF SARASOTA
Practice address
1951 Northgate Blvd
Sarasota, FL 34234
Phone
(941) 355-0687
Fax
(941) 358-0417
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ashhad S Fatmi, MD
Title
President
Phone
(941) 355-0687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 0076197 FL Primary

Addresses

Primary practice location

1951 Northgate Blvd
Sarasota, FL 34234

Mailing address

1951 Northgate Blvd
Sarasota, FL 34234
Phone (941) 355-0687

Other identifiers 1

IdentifierTypeStateIssuer
43710OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1951 Northgate Blvd
Sarasota, FL 34234
Phone (941) 355-0687

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457400780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 NORTHGATE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34234",
            "telephone_number": "941-355-0687",
            "fax_number": "941-358-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NORTHGATE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34234",
            "telephone_number": "941-355-0687",
            "fax_number": "941-358-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS OF SARASOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FATMI",
        "authorized_official_first_name": "ASHHAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-355-0687",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "0076197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43710",
            "state": null
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.