Organization Active NPI

Gulf Coast Pediatrics of Sarasota, P.a.

  • Specialist
  • Sarasota, FL
National Provider Identifier
1952478141
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME56640 Issued in FL
Legal business name
GULF COAST PEDIATRICS OF SARASOTA, P.A.
Practice address
5664 Bee Ridge Rd
Ste. 202
Sarasota, FL 34233-1504
Phone
(941) 377-6406
Fax
(941) 377-6407
NPI assigned
Nov 30, 2006
Last updated
May 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Richard Allen Perez, M.D.NPI 1477559516
Title
President
Phone
(941) 377-6406

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
Specialist 174400000X ME56640 FL Primary

Addresses

Primary practice location

5664 Bee Ridge Rd
Ste. 202
Sarasota, FL 34233-1504

Mailing address

5664 Bee Ridge Rd
Ste. 202
Sarasota, FL 34233-1504
Phone (941) 377-6406

Other identifiers 2

IdentifierTypeStateIssuer
268427600MedicaidFL
45150OtherFLBC BS PROVIDER #

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
10D0884630Gulf Coast Pediatrics of Sarasota PA5664 Bee Ridge Rd Ste 202, Sarasota, FL 34233Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Pediatrics of Sarasota2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5664 Bee Ridge Rd
Ste 202
Sarasota, FL 34233
Phone (941) 342-1568

Practitioners & affiliated clinicians

Practitioners 4

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1952478141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD",
            "address_2": "STE. 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "941-377-6406",
            "fax_number": "941-377-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD",
            "address_2": "STE. 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "941-377-6406",
            "fax_number": "941-377-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PEDIATRICS OF SARASOTA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-377-6406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME56640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268427600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER #",
            "identifier": "45150",
            "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 May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.