Organization Active NPI

Synergy Medical LLC

  • General Practice Physician
  • Bradenton, FL
National Provider Identifier
1891166435
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SYNERGY MEDICAL LLC
Practice address
6156 53Rd Ave E
Bradenton, FL 34203-9707
Phone
(941) 755-9355
Fax
(941) 755-9313
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Ann Marie Lewis
Title
MGR
Phone
(941) 780-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6156 53Rd Ave E
Bradenton, FL 34203-9707

Mailing address

6610 37TH St E
Sarasota, FL 34243-7957
Phone (941) 780-4730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1891166435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 37TH ST E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342437957",
            "telephone_number": "941-780-4730",
            "fax_number": "941-755-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039707",
            "telephone_number": "941-755-9355",
            "fax_number": "941-755-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "941-780-4730"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.