Organization Active NPI

Elizabeth John M.D PLC

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1629315056
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 84154 Issued in FL
Legal business name
ELIZABETH JOHN M.D PLC
Practice address
3042 University Pkwy
Sarasota, FL 34243-2502
Phone
(714) 474-7461
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Elizabeth John, M.D
Title
President
Phone
(714) 474-7461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME 84154 FL Primary

Addresses

Primary practice location

3042 University Pkwy
Sarasota, FL 34243-2502

Mailing address

13708 Red Rock PL
Lakewood Ranch, FL 34202-5011
Phone (714) 474-7461

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1629315056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 RED ROCK PL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025011",
            "telephone_number": "714-474-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432502",
            "telephone_number": "714-474-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH JOHN M.D PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-474-7461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 84154",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2013; 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.