NPIMap

Organization Active NPI

Restore Medical Partners, PLLC

  • Podiatrist
  • Venice, FL
National Provider Identifier
1639788714
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RESTORE MEDICAL PARTNERS, PLLC
Practice address
842 Sunset Lake Blvd Ste 301
Venice, FL 34292-7552
Phone
(941) 375-3006
Fax
(941) 218-4825
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Lindsey Job, MDNPI 1346444833
Title
Owner and Ao
Phone
(941) 375-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

842 Sunset Lake Blvd Ste 301
Venice, FL 34292-7552

Mailing address

333 Tamiami TRL S Ste 169171
Venice, FL 34285-2402
Phone (941) 375-3006

National Provider Directory

National Provider Directory

Locations

8383 S Tamiami Trl
Unit 115
Sarasota, FL 34238
Phone (941) 244-9430

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1639788714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S STE 169171",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852402",
            "telephone_number": "941-375-3006",
            "fax_number": "941-218-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 SUNSET LAKE BLVD STE 301",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342927552",
            "telephone_number": "941-375-3006",
            "fax_number": "941-218-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MEDICAL PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "JOB",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER AND AO",
        "authorized_official_telephone_number": "941-375-3006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.