Organization Active NPI

Sterling Plastic & Reconstructive Surgeons PA

  • Plastic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1942658893
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME128227 Issued in FL
Legal business name
STERLING PLASTIC & RECONSTRUCTIVE SURGEONS PA
Practice address
1950 Arlington St
Ste 112
Sarasota, FL 34239-3507
Phone
(941) 366-5476
Fax
(941) 866-7388
NPI assigned
Jun 1, 2016
Last updated
Nov 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Mark E Mathieson, MD
Title
Owner
Phone
(941) 366-5476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME128227 FL Primary

Addresses

Primary practice location

1950 Arlington St
Ste 112
Sarasota, FL 34239-3507

Mailing address

1950 Arlington St
Ste 112
Sarasota, FL 34239-3507
Phone (941) 366-5476

Other identifiers 1

IdentifierTypeStateIssuer
ME128227OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

8800 S Tamiami Trl
#A
Sarasota, FL 34238
Phone (941) 918-8330

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1942658893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "STE 112",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393507",
            "telephone_number": "941-366-5476",
            "fax_number": "941-866-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "STE 112",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393507",
            "telephone_number": "941-366-5476",
            "fax_number": "941-866-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING PLASTIC & RECONSTRUCTIVE SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "MATHIESON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-366-5476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME128227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME128227",
            "state": "FL"
        }
    ],
    "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 13, 2017; 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.