Premier Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PREMIER DERMATOLOGY, LLC

Practice address

3328 Bee Ridge Rd
Sarasota, FL 34239-7213

Phone

(941) 926-2300

Fax

(941) 926-8424

NPI assigned

Mar 9, 2014

Last updated

Aug 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Abrams, D.O.NPI 1316901895

Title

Manager

Phone

(941) 926-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley J Abrams, DO

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1316901895
  Medicare reassignment Care Compare group Authorized official
• Joshua Matthew Brady, MD

  • Dermatology Physician
  • Tampa, FL
  • NPI 1982280400
  Medicare reassignment Care Compare group NPD
• Stephanie Ann Caradonna, M.D.

  • Specialist
  • Osprey, FL
  • NPI 1821034828
  Medicare reassignment Care Compare group NPD
• Joel L Gerber, MD

  • Emergency Medicine Physician
  • Sarasota, FL
  • NPI 1528042710
  Medicare reassignment Care Compare group NPD
• Alexis B Honigbaum, MD

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1720423932
  Medicare reassignment Care Compare group NPD
• Heather Stock Larabee, M.D.

  • Specialist
  • Osprey, FL
  • NPI 1487699690
  Medicare reassignment Care Compare group NPD
• Janine Mangini, M.D.

  • Dermatopathology Physician
  • Sarasota, FL
  • NPI 1629090691
  Medicare reassignment Care Compare group NPD
• Ashley Nicole Pane, PA-C

  • Physician Assistant
  • Lakewood Ranch, FL
  • NPI 1609115161
  Medicare reassignment Care Compare group NPD
• Nicole Russini, MD

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1508495557
  Medicare reassignment Care Compare group NPD
• Jennifer Anderson Siddons, ARNP MSN

  • Nurse Practitioner
  • Osprey, FL
  • NPI 1275522617
  Medicare reassignment Care Compare group NPD
• Julie Trippodo Templet, M.D.

  • Dermatology Physician
  • Osprey, FL
  • NPI 1073525572
  Medicare reassignment Care Compare group NPD
• Weston Wall, MD

  • MOHS-Micrographic Surgery Physician
  • St Petersburg, FL
  • NPI 1437512969
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1700202298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397213",
            "telephone_number": "941-926-2300",
            "fax_number": "941-926-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397213",
            "telephone_number": "941-926-2300",
            "fax_number": "941-926-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-926-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Allergist of Florida LLC (Allervie Health)
• Premier Dentistry of Sarasota, PLC
• Premier Dermatology, LLC (Milam Bogart Dermatology, LLC)
• Premier Dermatology, LLC (The Center for Skin Wellness LLC)
• Premier Dermatology, LLC (Abrams Dermatology, LLC)
• Premier Diagnostic Imaging LLC
• Premier Hand Therapy LLC
• Premier Medical Services
• Premier Physical Therapy, Inc.
• Premier Physicians of Sarasota LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.