SOVEREIGN PLASTIC SURGERY PLLC (NPI# 1780838763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780838763 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN PLASTIC SURGERY PLLC |
| Practice Address |
1950 Arlington St Suite 112 Sarasota FL 34239-3508 |
| Practice Telephone | 9413665476 |
| Practice Fax Number | 9418667388 |
| Mailing Telephone | 9413665476 |
| Mailing Fax Number | 9418667388 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | ALISSA M SHULMAN (OWNER) |
| Authorized Official Telephone | 9413665476 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME103128 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE RAILROAD PTAN | DO9595 | 01 |
| FL | FLORIDA MEDICAL LICENSE | ME103128 | 01 |
| FL | MEDICARE PTAN | BI1647 | 01 |
| Street Address |
1950 ARLINGTON ST SUITE 112 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129976 | Gary Easterling | Specialist | 1950 Arlington St, Suite 203, Sarasota, FL 34239-3507 | 2005-07-22 |
| 1760928675 | Carolyn Garofalo | Physician Assistant | 1950 Arlington St, Suite 101, Sarasota, FL 34239-3507 | 2017-01-17 |
| 1942658893 | Sterling Plastic & Reconstructive Surgeons Pa | Plastic Surgery | 1950 Arlington St, Ste 112, Sarasota, FL 34239-3507 | 2016-06-01 |
| 1043666019 | Smh Physician Services, Inc | Surgery | 1950 Arlington St, Suite 101, Sarasota, FL 34239-3507 | 2016-05-10 |
| 1245653484 | Jennifer Lynn Miller | Nurse Practitioner | 1950 Arlington St, Suite 203, Sarasota, FL 34239-3507 | 2014-01-23 |
| 1740618073 | Diana Rocco | Physician Assistant | 1950 Arlington St, Suite 101, Sarasota, FL 34239-3507 | 2013-10-23 |
| 1790032464 | Alexis A Georgiou | Physician Assistant | 1950 Arlington St, Suite 111, Sarasota, FL 34239-3507 | 2012-08-13 |
| 1699093393 | Sarasota Surgical Specialists | Surgery | 1950 Arlington St, Ste 310, Sarasota, FL 34239-3506 | 2010-05-06 |
| 1316270515 | Linda Holmes | Nurse Practitioner | 1950 Arlington St, Suite 101, Sarasota, FL 34239-3507 | 2009-09-08 |
| 1477781979 | Margaux Hemstreet Manuel | Specialist | 1950 Arlington St, Suite 203, Sarasota, FL 34239-3507 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285907220 | Lacerna Aesthetic Rejuvenation, Inc | Plastic Surgery | 1274 N Palm Ave, Sarasota, FL 34236-5604 | 2012-02-22 |
| 1346477163 | Anna M Widmyer | Plastic Surgery | 8292 Barton Farms Blvd, Sarasota, FL 34240-8210 | 2009-06-18 |
| 1912058124 | Sarasota Plastic Surgery Inc | Plastic Surgery | 2255 S. Tamiami Trail, Sarasota, FL 34239-3806 | 2007-01-15 |
| 1144315821 | Mark Eugene Mathieson | Plastic Surgery | 8800 S Tamiami Trl Ste A, Sarasota, FL 34238 | 2006-10-04 |
| 1609831130 | Andre J Renard | Plastic Surgery | 2401 University Parkway, Suite 204, Sarasota, FL 34243-2973 | 2006-04-18 |
| 1487625844 | Marguerite Pearl Barnett | Plastic Surgery | 1715 Stickney Point Rd, Sarasota, FL 34231-8869 | 2006-02-01 |
| 1073598785 | Stefan Rene Adair | Plastic Surgery | 2677 S. Tamiami Trail, Unit 3, Sarasota, FL 34239 | 2005-12-14 |
| 1548242654 | John L Strausser | Plastic Surgery | 1900 S Tamiami Trl, Sarasota, FL 34239-3603 | 2005-11-15 |
| 1942658893 | Sterling Plastic & Reconstructive Surgeons Pa | Plastic Surgery | 1950 Arlington St, Ste 112, Sarasota, FL 34239-3507 | 2016-06-01 |
| 1174929541 | Jmc Health Group LLC | Plastic Surgery | 5664 Bee Ridge Rd, Suite 203, Sarasota, FL 34233-1504 | 2014-11-13 |
| 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.