Active NPI
Sterling Plastic & Reconstructive Surgeons, Inc.
- Plastic and Reconstructive Surgery Physician
- Sarasota, FL
National Provider Identifier
1619183753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2331631 | Medicaid | OH | |
| ME128227 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
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
- Christoph Stephenson-Moe, MD
- Robert L Stephenson, PSYD
- Sterling Dental
- Sterling Health Advisors LLC (Sterling Health Advisors)
- Sterling Plastic & Reconstructive Surgeons PA
- Alexander Ross Sterling, DO
- Jocelyn Dana Sterling, M.A., L.M.H.C.
- Lonne Lynne Sterling, LMHC, CEAP
- Charlotte K. Stern
- Marcy Stern, EDD, LMHC
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.