Organization Active NPI

Manasota Medical Group LLC

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1487800025
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MANASOTA MEDICAL GROUP LLC
Practice address
1250 S Tamiami TRL
Suite 301
Sarasota, FL 34239-2221
Phone
(941) 365-7771
Fax
(941) 365-4071
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Bart E. Price, MD, MD
Title
Owner/Physician
Phone
(941) 365-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1250 S Tamiami TRL
Suite 301
Sarasota, FL 34239-2221

Mailing address

1250 S Tamiami TRL
Suite 301
Sarasota, FL 34239-2221
Phone (941) 365-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090102000236 FL Part B Supplier - Clinic/Group Practice 8426110248 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1094418Manasota Medical Group1250 S Tamiami TRL Ste 301, Sarasota, FL 34239Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

1250 S Tamiami Trl
Ste 301
Sarasota, FL 34239
Phone (941) 365-7771

Practitioners & affiliated clinicians

Practitioners 8

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1487800025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-365-7771",
            "fax_number": "941-365-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-365-7771",
            "fax_number": "941-365-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASOTA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "PRICE, MD",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "941-365-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Dec 20, 2011; 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.