Fifty Third Ave East Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0049009 Issued in FL

Legal business name

FIFTY THIRD AVE EAST MEDICAL CLINIC

Practice address

3900 Clark Rd
Suite B3 & B4
Sarasota, FL 34233-2301

Phone

(941) 755-2456

Fax

(941) 932-4795

NPI assigned

Jun 26, 2008

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FIFTY THIRD AVE EAST MEDICAL CLINICAs reported in NPPES

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

Authorized official

Name

Dr. Padmini RajanNPI 1588626584

Title

President

Phone

(941) 755-2456

Specialties & licenses 1

Addresses

Part of

53Rd Avenue East Medica

Locations

Practitioners 1

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.

• Padmini G Rajan, M.D

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1588626584
  Authorized official Same address or phone

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1619139151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 53RD AVE E",
            "address_2": "SUITE C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035827",
            "telephone_number": "941-755-2456",
            "fax_number": "941-932-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "SUITE B3 & B4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-755-2456",
            "fax_number": "941-932-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTY THIRD AVE EAST MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIFTY THIRD AVE EAST MEDICAL CLINIC",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "RAJAN",
        "authorized_official_first_name": "PADMINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-755-2456",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fi-Waldemere, LLC
• Fi-Waldemere, LLC (Sarasota Health and Rehabilitation Center)
• Lisiane Fidalgo
• William Brent Field, NP
• Jason Verl Fielding, D.C.
• Claudia Figari, LCSW
• Marsha Sue File, P.T.
• Tara Michele Files-Hall, PH.D.
• Rachel Madeleine Filson, LCSW
• Final Stitch First Assist LLC

• Internal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.