Individual provider Active NPI

Kevin Michael McGaharan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
National Provider Identifier
1710086657
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
41965 Issued in FL
Practice address
5580 Bee Ridge Rd
Building B
Sarasota, FL 34233-1505
Phone
(941) 921-3500
Fax
(941) 921-3300
NPI assigned
Sep 21, 2006
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 41965 FL Primary

Addresses

Primary practice location

5580 Bee Ridge Rd
Building B
Sarasota, FL 34233-1505

Mailing address

PO Box 53067
Sarasota, FL 34232-0326
Phone (941) 921-3500

Other identifiers 3

IdentifierTypeStateIssuer
0673579MedicaidFL
201139OtherFLAMERIGROUP
58385OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41965FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehabilitation Associates PLLC Physical Medicine & Rehabilitation Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Sarasota Pain Management, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1710086657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53067",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342320326",
            "telephone_number": "941-921-3500",
            "fax_number": "941-921-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 BEE RIDGE RD",
            "address_2": "BUILDING B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331505",
            "telephone_number": "941-921-3500",
            "fax_number": "941-921-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAHARAN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "41965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "201139",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58385",
            "state": "FL"
        }
    ],
    "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 Sep 22, 2011; 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.