Individual provider Active NPI

Jonathan Malcolm Shagrin, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Sarasota, FL
National Provider Identifier
1558357459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
ME89363 Issued in FL
Practice address
225 Hourglass Way
301
Sarasota, FL 34242-1676
Phone
(941) 312-9662
Fax
(941) 349-9502
NPI assigned
Sep 26, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X ME89363 FL Primary

Addresses

Primary practice location

225 Hourglass Way
301
Sarasota, FL 34242-1676

Mailing address

225 Hourglass Way
301
Sarasota, FL 34242-1676
Phone (941) 312-9662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metrowest Anesthesiology, Inc. PastSince Nov 14, 1996 Accepting new patients
Spartan Anesthesia Associates PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558357459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOURGLASS WAY",
            "address_2": "301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342421676",
            "telephone_number": "941-312-9662",
            "fax_number": "941-349-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOURGLASS WAY",
            "address_2": "301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342421676",
            "telephone_number": "941-312-9662",
            "fax_number": "941-349-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGRIN",
        "first_name": "JONATHAN",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "FL",
            "license": "ME89363",
            "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 Jul 8, 2007; 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.