Matthew Jonathan Edlund, MD MOH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME56856 Issued in FL

Practice address

950 S Tamiami Trail
Suite 100
Sarasota, FL 34236-7840

Phone

(941) 365-4308

Fax

(941) 366-1199

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1629173992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRAIL",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-365-4308",
            "fax_number": "941-366-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRAIL",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-365-4308",
            "fax_number": "941-366-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLUND",
        "first_name": "MATTHEW",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD  MOH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME56856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Danelle Eckley-Dlutowski, M.S.
• Ecomerfordnp PLLC
• Farah Edds, MPAS, PA-C
• Nathan Conrad Eder
• Jennifer Wolf Edgson, R.N., C.C.M.
• Mitchell R Edlund, DDS MS PA
• Bennitta Denise Edmeade, APRN
• Marc Gide Edmond
• Darren James Edmonds, D.C.
• Angela Rae Edmondson, MSN, APRN, FNP-C

• Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.