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ELIZABETH F. CALLAHAN M.D. LLC NPI 1376576454


NPI Information

NPI: 1376576454
Provider Name: ELIZABETH F. CALLAHAN, M.D., LLC

Doing Business As: SKIN SMART DERMATOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5911 N HONORE AVE
SUITE 210
SARASOTA, FL
ZIP 34243
Phone: (941) 308-7546
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ELIZABETH F. CALLAHAN, M.D., LLC is a specialist in Sarasota, FL. The provider is 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. ELIZABETH F. CALLAHAN, M.D., LLC NPI is 1376576454. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Skin Smart Dermatology.

The provider's business location address is:

5911 N HONORE AVE
SUITE 210
SARASOTA, FL
ZIP 34243-606
Phone: (941) 308-7546
Fax: (941) 308-7550

The provider's authorized official is Tom Sidgmore .
The authorized official title is Practice Administrator and has the following contact phone number (941) 308-7546.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 10/31/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME89181FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11285828053OTHERFLORIDACP NPI
21861504045OTHERFLORIDABRR NPI
38188371OTHERFLORIDAJONELLE CIGNA PROVIDER NUMBER
4ME104122OTHERFLORIDAJONELLE MEDICAL LICENSE
51235392424OTHERFLORIDANPI JAMIE RAISOR
648310OTHERFLORIDABCBS PROVIDER NUMBER
700A58OTHERFLORIDAGROUP BC PROVIDER NUMBER
8145A6OTHERFLORIDABC ID JONELLE
9Y00CFOTHERFLORIDABBR BCBS PROVIDER#
101477548808OTHERFLORIDAEFC NPI
117543592OTHERFLORIDAAETNA PROVIDER NUMBER
1210D1031789OTHERFLORIDACLIA
13AK933YOTHERFLORIDAPTAN JAMIE RAISOR
141003844937OTHERFLORIDAJONELLE'S NPI
151376576454OTHERFLORIDAGROUP NPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.