| Medpeds Associates Of Sarasota | |
|
1931 S Tuttle Ave Sarasota FL 34239-3115 | |
| (941) 955-8800 | |
| (941) 955-8842 |
| Full Name | Medpeds Associates Of Sarasota |
|---|---|
| Speciality | Internal Medicine |
| Location | 1931 S Tuttle Ave, Sarasota, Florida |
| Authorized Official Name and Position | Lisa Dement (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9419558800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpeds Associates Of Sarasota 1931 S Tuttle Ave Sarasota FL 34239-3115 Ph: (941) 955-8800 | Medpeds Associates Of Sarasota 1931 S Tuttle Ave Sarasota FL 34239-3115 Ph: (941) 955-8800 |
| NPI Number | 1053315572 |
|---|---|
| Provider Enumeration Date | 06/13/2005 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 9032130315 |
|---|---|
| Medicare Enrollment ID | O20051214000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053315572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS8062 (Florida) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | OS8062 (Florida) | Secondary |
| Provider Name | Paula J Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699093179 PECOS PAC ID: 8022148162 Enrollment ID: I20100616000194 |
| Provider Name | John Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578567087 PECOS PAC ID: 9931395431 Enrollment ID: I20101123000652 |
| Provider Name | Steven Ray Grogg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275537797 PECOS PAC ID: 3375564651 Enrollment ID: I20101123000710 |
| Provider Name | Erin Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043329956 PECOS PAC ID: 3476578394 Enrollment ID: I20151103000213 |
| Provider Name | Alexander Julius Schreil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295152486 PECOS PAC ID: 8123329653 Enrollment ID: I20170620003413 |
| Provider Name | Jenny Bulat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992277263 PECOS PAC ID: 7517290018 Enrollment ID: I20190617001033 |
| Provider Name | Robyn Michele Erhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366413395 PECOS PAC ID: 8921091950 Enrollment ID: I20211122000263 |
| Provider Name | Colleen Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372789 PECOS PAC ID: 4486046067 Enrollment ID: I20220111000482 |
| Provider Name | Katelyn Farooqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639892755 PECOS PAC ID: 3476915760 Enrollment ID: I20230818000322 |
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