Organization Active NPI

Sarasota Orthopedic Associates LLC

  • Non-Pharmacy Dispensing Site
  • Sarasota, FL
National Provider Identifier
1750760112
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
SARASOTA ORTHOPEDIC ASSOCIATES LLC
Practice address
5741 Bee Ridge Rd Ste 400
Sarasota, FL 34233-5062
Phone
(941) 951-2663
Fax
(941) 957-4437
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mary Burkett Mather
Title
Cfo
Phone
(941) 552-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5741 Bee Ridge Rd Ste 400
Sarasota, FL 34233-5062

Mailing address

2750 Bahia Vista St
Suite 100
Sarasota, FL 34239-2600

Other identifiers 1

IdentifierTypeStateIssuer
273705100MedicaidFL

Other names 1

  • 360 Orthopedics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sarasota Orthopedic Associates LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1750760112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 400",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335062",
            "telephone_number": "941-951-2663",
            "fax_number": "941-957-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA ORTHOPEDIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "MATHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BURKETT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-552-3318"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273705100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 3, 2024; 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.