ELIZABETH F. CALLAHAN, M.D., LLC (NPI# 1376576454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376576454 |
| Entity Type | Organization |
| Organization Name | ELIZABETH F. CALLAHAN, M.D., LLC |
| Other Organization Name | SKIN SMART DERMATOLOGY |
| Practice Address |
5911 N Honore Ave Suite 210 Sarasota FL 34243-2606 |
| Practice Telephone | 9413087546 |
| Practice Fax Number | 9413087550 |
| Mailing Telephone | 9413087546 |
| Mailing Fax Number | 9413087550 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | MR. TOM SIDGMORE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9413087546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME89181 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CP NPI | 1285828053 | 01 |
| FL | BRR NPI | 1861504045 | 01 |
| FL | JONELLE CIGNA PROVIDER NUMBER | 8188371 | 01 |
| FL | JONELLE MEDICAL LICENSE | ME104122 | 01 |
| FL | NPI JAMIE RAISOR | 1235392424 | 01 |
| FL | BCBS PROVIDER NUMBER | 48310 | 01 |
| FL | GROUP BC PROVIDER NUMBER | 00A58 | 01 |
| FL | BC ID JONELLE | 145A6 | 01 |
| FL | BBR BCBS PROVIDER# | Y00CF | 01 |
| FL | EFC NPI | 1477548808 | 01 |
| FL | AETNA PROVIDER NUMBER | 7543592 | 01 |
| FL | CLIA | 10D1031789 | 01 |
| FL | PTAN JAMIE RAISOR | AK933Y | 01 |
| FL | JONELLE'S NPI | 1003844937 | 01 |
| FL | GROUP NPI | 1376576454 | 01 |
| Other Name | Type Code |
|---|---|
| Skin Smart Dermatology | Doing Business As Name - Organization |
| Street Address |
5911 N HONORE AVE SUITE 210 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356748214 | Molly Hindman Prichard | Nurse Practitioner | 5911 N Honore Ave, Ste 210, Sarasota, FL 34243-2606 | 2014-11-20 |
| 1063658607 | Matthew Steven Baker | Dentist | 5911 N Honore Ave, Suite 222, Sarasota, FL 34243-2606 | 2009-01-04 |
| 1861504045 | Brooke Robbins | Registered Nurse | 5911 N Honore Ave, Suite 210, Sarasota, FL 34243-2606 | 2006-08-31 |
| 1316951734 | Gabrielle M Gorzelnik | Physician Assistant | 5911 N Honore Ave, Ste 210, Sarasota, FL 34243-2606 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230096 | Lauren Daisey Woodruff | Specialist | 4440 Nelson Ave, Sarasota, FL 34231-7515 | 2020-09-17 |
| 1396117719 | Anne Chauvet | Specialist | 4937 S Tamiami Trl, Sarasota, FL 34231-4353 | 2015-10-25 |
| 1639575574 | Michelle Marie Bessette | Specialist | 5255 Ocean Blvd, Sarasota, FL 34242-3310 | 2014-11-04 |
| 1720381130 | Matthew J Edlund Md Pa | Specialist | 1241 S Tamiami Trl, Sarasota, FL 34239-2219 | 2010-12-08 |
| 1235448812 | Adam Odonish | Specialist | 3922 Longhorn Dr, Sarasota, FL 34233-3734 | 2010-09-30 |
| 1538476536 | Agnieszka M Gruszecka | Specialist | 2206 Jo An Dr, Ste 4, Sarasota, FL 34231-4079 | 2010-09-13 |
| 1962716530 | Maria C Codre | Specialist | 2831 Ringling Blvd Ste 113d, Sarasota, FL 34237-5363 | 2010-08-05 |
| 1881820652 | Special Needs Home Consultants | Specialist | 4872 Wild Dove Ln, Sarasota, FL 34232-1843 | 2009-06-06 |
| 1679728596 | Howard A Grossbard Md Pa | Specialist | 7430 Cove Ter, Sarasota, FL 34231-5422 | 2008-11-19 |
| 1013164946 | Charles H. Hill | Specialist | 1332 S Lake Shore Dr, Sarasota, FL 34231-3404 | 2008-08-21 |
| Find all providers in SARASOTA | ||||
Please comment or provide details below to improve the information on ELIZABETH F. CALLAHAN, M.D., LLC.
| 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.