Spectrum Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

SPECTRUM PLASTIC SURGERY LLC

Practice address

2426 S Tamiami TRL
Sarasota, FL 34239-3842

Phone

(507) 398-2753

Fax

(941) 866-9024

NPI assigned

Aug 9, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Senchenkov, MDNPI 1770558454

Title

MD/Owner

Phone

(507) 398-2753

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Senchenkov, MD

  • Plastic and Reconstructive Surgery Physician
  • Sarasota, FL
  • NPI 1770558454

  Plastic Surgery

  Medicare reassignment NPD Authorized official
• Alfredo Dante Fernandez, MD

  • Pediatric Dermatology Physician
  • Sarasota, FL
  • NPI 1689676132
  NPD (past)

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1528678026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3612",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342303612",
            "telephone_number": "507-398-2753",
            "fax_number": "941-866-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393842",
            "telephone_number": "507-398-2753",
            "fax_number": "941-866-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "SENCHENKOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "507-398-2753",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.