Organization Active NPI

Sra Recon PLLC

  • Plastic and Reconstructive Surgery Physician
  • Sarasota, FL
National Provider Identifier
1801223862
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME 87985 Issued in FL
Legal business name
SRA RECON PLLC
Practice address
1219 S East Ave
Ste 204
Sarasota, FL 34239-2340
Phone
(941) 955-5600
Fax
(941) 870-8489
NPI assigned
Oct 3, 2013
Last updated
Jan 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Stefan R Adair, MDNPI 1073598785
Title
Owner
Phone
(941) 955-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME 87985 FL Primary

Addresses

Primary practice location

1219 S East Ave
Ste 204
Sarasota, FL 34239-2340

Mailing address

1219 S East Ave
Ste 204
Sarasota, FL 34239-2340
Phone (941) 955-5600

National Provider Directory

National Provider Directory

Locations

1219 S East Ave
Ste 204
Sarasota, FL 34239
Phone (941) 330-9797

1219 S East Ave
Ste 204C
Sarasota, FL 34239
Phone (941) 330-9797

Practitioners & affiliated clinicians

Practitioners 2

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1801223862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S EAST AVE",
            "address_2": "STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392340",
            "telephone_number": "941-955-5600",
            "fax_number": "941-870-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S EAST AVE",
            "address_2": "STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392340",
            "telephone_number": "941-955-5600",
            "fax_number": "941-870-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRA RECON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-955-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME 87985",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 2, 2014; 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.