Organization Active NPI

Lung Associates of Sarasota LLC

  • Pulmonary Disease Physician
  • Sarasota, FL
National Provider Identifier
1801831003
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0041874 Issued in FL
Legal business name
LUNG ASSOCIATES OF SARASOTA LLC
Practice address
1921 Waldemere St
Ste. 705
Sarasota, FL 34239-2913
Phone
(941) 366-5864
Fax
(941) 365-4276
NPI assigned
Jun 19, 2006
Last updated
Nov 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Courtney Wade
Title
Practice Administrator
Phone
(941) 366-5864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME0041874 FL Primary

Addresses

Primary practice location

1921 Waldemere St
Ste. 705
Sarasota, FL 34239-2913

Mailing address

1921 Waldemere St
Ste. 705
Sarasota, FL 34239-2913
Phone (941) 366-5864

Other practice location 1

200 Healthcare Way
Suite 102
North Venice, FL 34275
Phone (941) 366-5864 ext. 810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001317 FL Part B Supplier - Clinic/Group Practice 8820068471 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
Practice locations: North Venice, FL; Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0296097Lung Associates of Sarasota1921 Waldemere St Ste 705, Sarasota, FL 34239Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

200 Healthcare Way
Unit 102
North Venice, FL 34275
Phone (941) 366-5864

1515 S Osprey Ave
Ste B5
Sarasota, FL 34239
Phone 9413665864810

1895 Floyd St
Sarasota, FL 34239
Phone (813) 366-5864

3830 Bee Ridge Rd
Ste A
Sarasota, FL 34233
Phone (941) 921-0383

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10086560

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1801831003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "STE. 705",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392913",
            "telephone_number": "941-366-5864",
            "fax_number": "941-365-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "STE. 705",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392913",
            "telephone_number": "941-366-5864",
            "fax_number": "941-365-4276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Healthcare Way",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "North Venice",
            "state": "FL",
            "postal_code": "34275",
            "country_code": "US",
            "telephone_number": "941-366-5864 x810",
            "fax_number": "941-316-9819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUNG ASSOCIATES OF SARASOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-11-05",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-366-5864"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0041874",
            "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 Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.