Organization Active NPI

Sarasota Orthopedic Associates, LLC

  • Orthopaedic Surgery Physician
  • Lakewood Ranch, FL
National Provider Identifier
1962766576
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SARASOTA ORTHOPEDIC ASSOCIATES, LLC
Practice address
6230 University Pkwy
Suite 203
Lakewood Ranch, FL 34240-8604
Phone
(941) 951-2663
Fax
(941) 957-4437
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Micheal Gordon, MD
Title
Authorized Official
Phone
(941) 951-2663

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Orthopaedic Hand Surgery Physician 207XS0106X
Orthopaedic Surgery of the Spine Physician 207XS0117X
Physical Medicine & Rehabilitation Physician 208100000X
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

6230 University Pkwy
Suite 203
Lakewood Ranch, FL 34240-8604

Mailing address

2750 Bahia Vista St
Suite 100
Sarasota, FL 34239-2600
Phone (941) 951-2663

National Provider Directory

National Provider Directory

Locations

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

1975 S Tamiami TRL
Sarasota Memorial Hospital
Sarasota, FL 34239

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1962766576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392600",
            "telephone_number": "941-951-2663",
            "fax_number": "941-957-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 UNIVERSITY PKWY",
            "address_2": "SUITE 203",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408604",
            "telephone_number": "941-951-2663",
            "fax_number": "941-957-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA ORTHOPEDIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "941-951-2663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 28, 2012; 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.