Organization Active NPI

Sterling Plastic & Reconstructive Surgeons, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Sarasota, FL
National Provider Identifier
1619183753
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
STERLING PLASTIC & RECONSTRUCTIVE SURGEONS, INC.
Practice address
8800 S Tamiami TRL Ste a
Sarasota, FL 34238
Phone
(941) 918-8330
Fax
(941) 918-8332
NPI assigned
May 15, 2007
Last updated
Jul 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Authorized official

Name
Dr. Mark Eugene Mathieson, M.D.
Title
Physician
Phone
(941) 918-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

8800 S Tamiami TRL Ste a
Sarasota, FL 34238

Mailing address

PO Box 19596
Belfast, ME 04915-4090
Phone (941) 918-8330

Other practice location 1

770 W High St
Suite 410
Lima, OH 45801-3990
Phone (419) 228-9300

Other practice location 2

8800 S Tamiami Trl Ste A
Sarasota, FL 34238
Phone (941) 918-8330

Other identifiers 2

IdentifierTypeStateIssuer
2331631MedicaidOH
ME128227OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

770 W High St
Ste 410
Lima, OH 45801
Phone (419) 228-9300

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562457600000",
    "number": "1619183753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19596",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154090",
            "telephone_number": "941-918-8330",
            "fax_number": "941-918-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 S TAMIAMI TRL STE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34238",
            "telephone_number": "941-918-8330",
            "fax_number": "941-918-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 W High St",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013990",
            "country_code": "US",
            "telephone_number": "419-228-9300",
            "fax_number": "419-228-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 S Tamiami Trl Ste A",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34238",
            "country_code": "US",
            "telephone_number": "941-918-8330",
            "fax_number": "941-918-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STERLING PLASTIC & RECONSTRUCTIVE SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-07-07",
        "status": "A",
        "authorized_official_last_name": "MATHIESON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-918-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2331631",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME128227",
            "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 Jul 7, 2019; 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.