Sovereign Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME103128 Issued in FL

Legal business name

SOVEREIGN PLASTIC SURGERY PLLC

Practice address

1950 Arlington St
Suite 112
Sarasota, FL 34239-3508

Phone

(941) 366-5476

Fax

(941) 866-7388

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Alissa M Shulman, MDNPI 1972690329

Title

Owner

Phone

(941) 366-5476

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Alissa Marie Shulman, M.D.

  • Plastic Surgery Physician
  • Sarasota, FL
  • NPI 1972690329
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1780838763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "SUITE 112",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393508",
            "telephone_number": "941-366-5476",
            "fax_number": "941-866-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "SUITE 112",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393508",
            "telephone_number": "941-366-5476",
            "fax_number": "941-866-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-366-5476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME103128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BI1647",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME103128",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "DO9595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann South, M.D.
• John Christian Southerland, M.D.
• Suzanne Southerland, M.D.
• Southern Home Care Services, Inc.
• Southern Ortho & Spine Bracing, LLC
• Andrew Soxman, DO
• Alberto Enrique Soyano, M.D.
• Daymary Pinero Soyano, DMD
• SP Physical Therapy and Sports Performance
• Courtney Nicole Spafford, LAC

• Plastic Surgery Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.