Organization Active NPI

Sarasota Plastic Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Sarasota, FL
National Provider Identifier
1871644096
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SARASOTA PLASTIC SURGERY CENTER INC
Practice address
2255 S Tamiami TRL
Sarasota, FL 34239-3806
Phone
(941) 366-8897
Fax
(941) 366-0518
NPI assigned
Jan 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Devonne Marie Labonte, MHA, LHRM
Title
Ceo Administrator
Phone
(941) 366-8897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X FL Primary

Addresses

Primary practice location

2255 S Tamiami TRL
Sarasota, FL 34239-3806

Mailing address

2255 S Tamiami TRL
Sarasota, FL 34239-3806
Phone (941) 366-8897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120210000780 FL Part B Supplier - Ambulatory Surgical Center 5193982676 Practice locations: Sarasota, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sarasota Plastic Surgery Center IncCCN 10C0001320
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871644096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393806",
            "telephone_number": "941-366-8897",
            "fax_number": "941-366-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393806",
            "telephone_number": "941-366-8897",
            "fax_number": "941-366-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA PLASTIC SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LABONTE",
        "authorized_official_first_name": "DEVONNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "941-366-8897",
        "authorized_official_credential": "MHA, LHRM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "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 Jul 21, 2022; 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.