MR. ALEXIS TAQWAN SOCKWELL (NPI# 1023092913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023092913 |
Entity Type | Individual |
Full Name | MR. ALEXIS TAQWAN SOCKWELL |
Credential | PA-C |
Practice Address |
6050 Cattleridge Blvd Ste 201 Sarasota FL 34232-6014 |
Mailing Address |
Po Box 50922 Sarasota FL 34232-0307 |
Practice Telephone | 9413650655 |
Practice Fax Number | 9413668043 |
Mailing Telephone | 9419146610 |
Mailing Fax Number | 9418668121 |
Enumeration Date | 2005-12-03 |
Last Update Date | 2013-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101772 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6050 CATTLERIDGE BLVD STE 201 |
City | SARASOTA |
State | FL |
Zip Code | 34232-6014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184263915 | Taylor Combs | Physician Assistant | 6050 Cattleridge Blvd, Sarasota, FL 34232-6014 | 2019-12-26 |
1073003141 | Gillian D'arcy | Specialist/Technologist | 6050 Cattleridge Blvd, Sarasota, FL 34232-6014 | 2018-05-15 |
1598209199 | Brooke Danielle Garriott | Physician Assistant | 6050 Cattleridge Blvd, Sarasota, FL 34232-6014 | 2016-12-15 |
1174804413 | Michael John Moustoukas | Orthopaedic Surgery | 6050 Cattleridge Blvd, Ste 201, Sarasota, FL 34232-6028 | 2011-08-31 |
1508181769 | Ngoc-lam Minh Nguyen | Orthopaedic Surgery | 6050 Cattleridge Blvd, Suite 201, Sarasota, FL 34232-6014 | 2010-03-31 |
1801083175 | Satinderpaul S Satia | Pain Medicine | 6050 Cattleridge Blvd, Ste 201, Sarasota, FL 34232-6014 | 2007-10-01 |
1518188374 | Charlyn Rae Allen | Physical Therapist | 6050 Cattleridge Blvd, Suite 201, Sarasota, FL 34232-6014 | 2007-05-01 |
1568528032 | Kennedy White & Riggs Orthopedic Associates | Orthopaedic Surgery | 6050 Cattleridge Blvd, Suite 201, Sarasota, FL 34232-6014 | 2006-12-29 |
1053477687 | Kennedy White & Riggs Orthopedic Associates | Durable Medical Equipment & Medical Supplies | 6050 Cattleridge Blvd, Suite 201, Sarasota, FL 34232-6014 | 2006-12-28 |
1346343241 | Stephanie Kisielewski | Physical Therapist | 6050 Cattleridge Blvd, Ste. 201, Sarasota, FL 34232-6014 | 2006-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
1346736923 | Coastal In Home Senior Care | Adult Companion | 2609 Briar Oak Circle, Sarasota, FL 34232 | 2018-07-06 |
1508215450 | Stacy Centeno | Nurse Practitioner | 943 S Beneva Rd Ste 210, Sarasota, FL 34232 | 2016-06-10 |
1912307265 | Luis Guillermo Guzman | Internal Medicine | 943 S Beneva Rd Ste 201, Sarasota, FL 34232 | 2014-08-23 |
1225445190 | At Talitha Cumi Home Care, Inc | Home Health | 4647 Fruitville Rd, Suite 3388, Sarasota, FL 34232 | 2014-07-12 |
1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
1437570264 | Leigh Ann Spohn | Occupational Therapy Assistant | 5115 Lahaina Dr., Sarasota, FL 34232 | 2013-12-20 |
1770917023 | Florida Mobility Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 5975 Cattlemen Lane, Sarasota, FL 34232 | 2013-08-22 |
1912345109 | Cb Medical LLC | Home Health | 619 Cattlemen Rd, Unit 54, Sarasota, FL 34232 | 2013-06-10 |
1598009318 | Margaret Donaker | Speech-Language Pathologist | 2727 Teal Ave., Sarastoa, FL 34232 | 2012-11-16 |
Find all providers in zip 34232 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619286481 | Nicole H Brumenschenkel | Physician Assistant | 1921 Waldemere St Ste 609, Sarasota, FL 34239-2913 | 2010-09-28 |
1235378191 | Karim Ghazli | Physician Assistant | 1756 Oak St, Sarasota, FL 34236-7537 | 2009-02-16 |
1669638904 | Rdr Services, LLC | Physician Assistant | 4316 Pasadena Cir, Sarasota, FL 34233-3623 | 2008-08-06 |
1356520407 | Gsp Surgical Assistants, Inc | Physician Assistant | 5682 Bentgrass Dr, Unit 212, Sarasota, FL 34235-7643 | 2007-10-25 |
1932163144 | Chasie L. Haupt | Physician Assistant | 2426 S. Tamiami Trail, Sarasota, FL 34239 | 2006-04-14 |
1811519317 | Alexandra Rodman | Physician Assistant | 6050 Cattleridge Blvd Ste 201, Sarasota, FL 34232-6028 | 2020-05-07 |
1831652759 | Jose Norberto Yengle | Physician Assistant | 1950 Arlington St Ste 101, Sarasota, FL 34239-3508 | 2019-04-08 |
1821569823 | Brendan Andrew Mccarron | Physician Assistant | 1540 S Tamiami Trl Ste 303, Sarasota, FL 34239-2921 | 2018-12-17 |
1316450190 | Aaron Carlton | Physician Assistant | 1950 Arlington St Ste 310, Sarasota, FL 34239 | 2017-11-15 |
1215317292 | Megan Bainbridge | Physician Assistant | 736 Central Ave, Sarasota, FL 34236-4042 | 2015-06-04 |
Find all providers in SARASOTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.