NPIMap

Organization Active NPI

Suncoast Family Wellness LLC

Doing business as Suncoast Family Wellness

  • Urgent Care Clinic/Center
  • Lakewood Ranch, FL
National Provider Identifier
1710569462
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SUNCOAST FAMILY WELLNESS LLC
Doing business as
Suncoast Family Wellness
Practice address
6266 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone
(941) 867-2560
NPI assigned
Apr 22, 2021
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNCOAST FAMILY WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Dr. Barbara Bakus, DONPI 1871790337
Title
DO / Owner
Phone
(440) 991-6718

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

6266 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425

Mailing address

6260 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone (444) 991-6718

Other names 1

  • Suncoast Family Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329000721 FL Part B Supplier - Clinic/Group Practice 6709272891 Receives reassigned benefits from 7 practitioners
Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory
Part of
Suncoast Family Wellness LLC

Locations

6260 Lake Osprey Dr
Lakewood Ranch, FL 34240

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1710569462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 LAKE OSPREY DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "444-991-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6266 LAKE OSPREY DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "941-867-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST FAMILY WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNCOAST FAMILY WELLNESS LLC",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "BAKUS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DO / OWNER",
        "authorized_official_telephone_number": "440-991-6718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suncoast Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.