Organization Active NPI

Eric Patrusky DO PA

  • Pediatrics Physician
  • Sarasota, FL
National Provider Identifier
1528472149
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ERIC PATRUSKY DO PA
Practice address
3920 Bee Ridge Rd Ste C
Sarasota, FL 34233-1207
Phone
(941) 377-8687
Fax
(941) 378-3498
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Eric Patrusky, DONPI 1356384291
Title
Owner
Phone
(941) 377-8687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3920 Bee Ridge Rd Ste C
Sarasota, FL 34233-1207

Mailing address

3920 Bee Ridge Rd Ste C
Sarasota, FL 34233-1207
Phone (941) 377-8687

Other identifiers 1

IdentifierTypeStateIssuer
OS6274OtherFLMEDICAL LICENSE

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
10D0919175Eric G Patrusky DO3920 Bee Ridge Rd, BLDG B, Ste C, Sarasota, FL 34233Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Locations

5664 Bee Ridge Rd
Ste 103
Sarasota, FL 34233

Practitioners & affiliated clinicians

Practitioners 1

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": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1528472149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-377-8687",
            "fax_number": "941-378-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-377-8687",
            "fax_number": "941-378-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC PATRUSKY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "PATRUSKY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-377-8687",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS6274",
            "state": "FL"
        }
    ],
    "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 Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.