Sara Ann Bohn, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS13725 Issued in FL

Practice address

105 Arneson Ave
Auburndale, FL 33823-3229

Phone

(863) 393-6404

Fax

(863) 583-3118

NPI assigned

Aug 2, 2005

Reactivated

Mar 30, 2006

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1629079520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 PALASTRO AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338238704",
            "telephone_number": "573-353-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARNESON AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233229",
            "telephone_number": "863-393-6404",
            "fax_number": "863-583-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Arneson Ave",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "FL",
            "postal_code": "338233229",
            "country_code": "US",
            "telephone_number": "863-393-6404",
            "fax_number": "863-583-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10150 Highland Manor Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336109750",
            "country_code": "US",
            "telephone_number": "813-259-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHN",
        "first_name": "SARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-23",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MO",
            "license": "36976",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36976",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0104183",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080183733",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242866655",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "16644",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4251694",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "194082",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bradford Beatty, LCSW
• Jeff Ryan Beeman, PHARM.D
• Travis Bernard, APRN
• Bio-Medical Applications of Florida, Inc. (Fresenius Medical Care Auburndale)
• Ashley Nicole Blizzard, FNP-BC
• Tonya Amber Bolton, D.O.
• Cheryl Borden-Jordan, BCBA
• Teyonda Bragg
• Richard Frank Brauckmuller
• Briar Hill Inc

• Family Medicine Physician in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.