Individual provider Active NPI

Lawrence James Elliott, D.O.

  • Cardiovascular Disease Physician
  • Venice, FL
National Provider Identifier
1689670010
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS0007414 Issued in FL
Practice address
901 Venetia Bay Blvd Ste 300
Venice, FL 34285-8044
Phone
(941) 497-5511
Fax
(941) 492-2221
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS0007414 FL Primary

Addresses

Primary practice location

901 Venetia Bay Blvd Ste 300
Venice, FL 34285-8044

Mailing address

901 Venetia Bay Blvd Ste 300
Venice, FL 34285-8044
Phone (941) 497-5511

Other identifiers 1

IdentifierTypeStateIssuer
257322900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.elliott.1@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000524 FL Practitioner - Cardiovascular Disease (Cardiology) 5193841104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Medical Associates PA 19 clinicians

Practice addresses (Care Compare)

425 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (863) 993-2966

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0007414FLMDCardiovascular Disease Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Arcadia Medical Associates PA Cardiovascular Disease CurrentSince Feb 16, 2023 Accepting new patients
Arcadia Medical Associates PA CurrentSince Feb 16, 2023 Accepting new patients
Weitzner Yonker & Kaine MD PA PastSince Mar 1, 2024 Accepting new patients

Locations

425 Nursing Home Dr
Ste 2
Arcadia, FL 34266

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

901 Venetia Bay Blvd
Ste 300
Venice, FL 34285
Phone (941) 497-5511

435 Commercial Ct
Venice, FL 34292
Phone (941) 484-2602

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1689670010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD STE 300",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858044",
            "telephone_number": "941-497-5511",
            "fax_number": "941-492-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD STE 300",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858044",
            "telephone_number": "941-497-5511",
            "fax_number": "941-492-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LAWRENCE",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS0007414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257322900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.elliott.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "901 Venetia Bay Blvd Ste 300",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342858044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.