Pediatric Associates of Sarasota

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

ME22185 Issued in FL

Legal business name

PEDIATRIC ASSOCIATES OF SARASOTA

Practice address

1215 S East Ave
Suite # 303
Sarasota, FL 34239-2342

Phone

(941) 366-3000

Fax

(941) 366-3002

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Shamsey, MD

Title

President Owner

Phone

(941) 366-3000

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1528118726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S EAST AVE",
            "address_2": "SUITE # 303",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392342",
            "telephone_number": "941-366-3000",
            "fax_number": "941-366-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S EAST AVE",
            "address_2": "SUITE # 303",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392342",
            "telephone_number": "941-366-3000",
            "fax_number": "941-366-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF SARASOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "SHAMSEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "941-366-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME34530",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME57672",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME80960",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME22185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045457500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Kina Pearl, RN
• Marilyn Pearlman, L.C.S.W.
• Carl Courtney Pearman, M.D.
• Suzanne Pedersen
• Pediatric ABA 8 Inc
• Pediatric Health Choice
• Pediatric Health Choice
• Pediatric Therapy Solutions, Inc.
• Pediatrics of Sarasota
• Pediatrix Medical Group of Florida Inc

• Pediatric Adolescent Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.