Lee-Dylan Michael Locke, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113914 Issued in FL

Practice address

2830 Bee Ridge Rd
Sarasota, FL 34239-7115

Phone

(941) 927-1234

Fax

(941) 921-0043

NPI assigned

Jun 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primehealth Urgent Care LLCGroup PAC ID 6002240967, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Primehealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Parrish, FL
  • NPI 1023651825
  Medicare reassignment Care Compare group NPD (past)
• Good Business LLC

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1710134788
  NPD
• Primehealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Ellenton, FL
  • NPI 1225806003
  NPD
• Primehealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bradenton, FL
  • NPI 1821843335
  NPD

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1770710436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367906",
            "telephone_number": "631-294-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397115",
            "telephone_number": "941-927-1234",
            "fax_number": "941-921-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 N Zaragoza Rd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367906",
            "country_code": "US",
            "telephone_number": "631-294-6934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "LEE-DYLAN",
        "middle_name": "MICHAEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06675",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Hawkey Llerena Jr., DO
• Kerri A Loafman, BCBA
• Darlene A Lobel, M.D.
• Carolyn Lobue, MD
• Jenna Lochner, DO
• Amanda Taylor Locklear, DO
• Jaime Lee Lockman, PTA
• Tony Locrotondo, D.O.
• Charles J Loewe, MD
• Julia Loewi, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.