NPIMap

Organization Active NPI

Emily F Arsenault MD PA

  • Dermatology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1851587794
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME87116 Issued in FL
Legal business name
EMILY F ARSENAULT MD PA
Practice address
8374 Market St
# 402
Lakewood Ranch, FL 34202-5137
Phone
(941) 907-0222
Fax
(941) 907-0493
NPI assigned
Sep 24, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Emily F Arsenault, MDNPI 1972513109
Title
President
Phone
(941) 907-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME87116 FL Primary

Addresses

Primary practice location

8374 Market St
# 402
Lakewood Ranch, FL 34202-5137

Mailing address

8926 77TH Ter E
Suite 101
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222

Other identifiers 4

IdentifierTypeStateIssuer
78732ZOtherFLMEDICARE INDIVIDUAL #
E6155XOtherFLMEDICARE INDIVIDUAL #
H61103OtherFLUPIN
P39591OtherFLUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051031000785 FL Part B Supplier - Clinic/Group Practice 9739106584 Receives reassigned benefits from 31 practitioners
Practice locations: Bradenton, FL; Lakewood Ranch, FL; St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

230 Manatee Ave E
Bradenton, FL 34208
Phone (941) 907-0222

5807 21st Ave W
Bradenton, FL 34209
Phone (941) 358-3223

5857A 21st Ave W
Bradenton, FL 34209
Phone (813) 792-8252

9652 Sr 64
Bradenton, FL 34212

5860 Ranch Lake Blvd
Ste 103
Lakewood Ranch, FL 34202
Phone (941) 907-0222

8926 77th Ter E
Unit 101
Lakewood Ranch, FL 34202
Phone (941) 264-1153

5504 Pinebrook Rd
Ste 101
North Venice, FL 34275

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1851587794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 77TH TER E",
            "address_2": "SUITE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026417",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8374 MARKET ST",
            "address_2": "# 402",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY F ARSENAULT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "ARSENAULT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-907-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME87116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "78732Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "E6155X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H61103",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P39591",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.