Organization Active NPI

Jeffrey B. Sack, M.D., P.a.

  • Interventional Cardiology Physician
  • Sarasota, FL
National Provider Identifier
1487093787
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME 56807 Issued in FL
Legal business name
JEFFREY B. SACK, M.D., P.A.
Practice address
5741 Bee Ridge Rd Ste 260
Sarasota, FL 34233-5083
Phone
(941) 371-3800
Fax
(941) 371-2069
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Jeffrey B Sack, M.D.
Title
Ceo
Phone
(941) 371-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME 56807 FL Primary

Addresses

Primary practice location

5741 Bee Ridge Rd Ste 260
Sarasota, FL 34233-5083

Mailing address

5741 Bee Ridge Rd Ste 260
Sarasota, FL 34233-5083
Phone (941) 371-3800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1487093787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 260",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335083",
            "telephone_number": "941-371-3800",
            "fax_number": "941-371-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 260",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335083",
            "telephone_number": "941-371-3800",
            "fax_number": "941-371-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. SACK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-371-3800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME 56807",
            "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 Jun 19, 2013; 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.