SMH PHYSICIAN SERVICES INC NPI 1063629269

NPI Information

NPI: 1063629269
Provider Name: SMH PHYSICIAN SERVICES INC

Doing Business As: SARASOTA MEMORIAL PHYSICIAN GROUP

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1515 S OSPREY AVE
SUITE 1-A
SARASOTA, FL
ZIP 34239
Phone: (941) 917-7197
Get Directions

SMH PHYSICIAN SERVICES INC is a geriatric medicine internal medicine in Sarasota, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SMH PHYSICIAN SERVICES INC NPI is 1063629269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sarasota Memorial Physician Group.

The provider's business location address is:

1515 S OSPREY AVE
SUITE 1-A
SARASOTA, FL
ZIP 34239-939
Phone: (941) 917-7197
Fax: (941) 917-4016

The provider's authorized official is Ilene Gilbert .
The authorized official title is Coo and has the following contact phone number (941) 917-8720.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 5/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	FLORIDA	No
2	2084N0400X	Psychiatry & Neurology	Neurology		No
3	207RG0300X	Internal Medicine	Geriatric Medicine	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	376537700	MEDICAID	FLORIDA
2	33181	OTHER	FLORIDA	BCBS FLORIDA
3	AC322	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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