DR. MARK EUGENE MATHIESON (NPI# 1144315821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144315821 |
| Entity Type | Individual |
| Full Name | DR. MARK EUGENE MATHIESON |
| Credential | MD |
| Practice Address |
8800 S Tamiami Trl Ste A Sarasota FL 34238 |
| Mailing Address |
8800 S Tamiami Trl Ste A Sarasota FL 34238-3142 |
| Practice Telephone | 9419188800 |
| Practice Fax Number | 9419188332 |
| Mailing Telephone | 9419188330 |
| Mailing Fax Number | 9419188332 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | ME128227 | FL | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 35077172M | OH | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME128227 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2331631 | 05 | |
| FL | MEDICAL LICENSE | ME1281227 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1950 Arlington St Ste 112, Sarasota, FL 342393508 | 9412132639 | 9413300502 |
| 1920 Allentown Rd, Lima, OH 458051849 | 4192289300 | 4192289700 |
| Street Address |
8800 S TAMIAMI TRL STE A |
| City | SARASOTA |
| State | FL |
| Zip Code | 34238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619183753 | Sterling Plastic & Reconstructive Surgeons, Inc. | Surgery | 8800 S Tamiami Trl Ste A, Sarasota, FL 34238 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396257168 | Strickland Family Dentistry | Clinic/Center | 8551 S. Tamiami Trail, Sarasota, FL 34238 | 2017-11-01 |
| 1043734031 | Michael Roy Guralnik | Acupuncturist | 6213 Weymouth Dr, Sarasota, FL 34238 | 2017-08-01 |
| 1275991424 | James Orr | Physical Therapist | 5581 Rand Blvd, Sarasota, FL 34238 | 2016-02-03 |
| 1760848527 | Krause Dental | Dentist | 7208 Beneva Road South, Sarasota, FL 34238 | 2016-01-11 |
| 1720467632 | Marco Antunez | Physical Therapy Assistant | 4954 Oldham St, Sarasota, FL 34238 | 2015-05-26 |
| 1629403506 | Multi-task Genie, LLC Dba Allied Pro-health Care | Nursing Care | 8620 S Tamiami Trail, Suite D, Sarasota, FL 34238 | 2013-09-10 |
| 1831443597 | Jessica Thomason | Pharmacist | 8201 South Tamiami Trail, Sarasota, FL 34238 | 2012-11-02 |
| 1164772521 | Eucarice X Richmond | Physical Therapy Assistant | 5111 Palmer Ranch Parkway, Sarasota, FL 34238 | 2012-09-13 |
| 1306194907 | Intellihealth, LLC | Social Worker | 6228 Donnington Ct, Sarasota, FL 34238 | 2012-08-29 |
| 1366706046 | Costco Wholesale Corporation | Pharmacy | 8201 S Tamiami Trl Unit 501, Sarasota, FL 34238 | 2012-06-27 |
| Find all providers in zip 34238 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194225599 | Joseph Charles Gallagher Jr. | Surgery | 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 | 2018-02-13 |
| 1629482096 | Jill Swindell | Surgery | 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 | 2014-06-13 |
| 1588114730 | Aesthetic Eye & Surgical Arts LLC | Surgery | 5310 Clark Rd, Suite 106, Sarasota, FL 34233-3230 | 2016-10-12 |
| 1801223862 | Sra Recon Pllc | Surgery | 1219 S East Ave, Ste 204, Sarasota, FL 34239-2340 | 2013-10-03 |
| 1528366846 | Royce Plastic Surgery Pa | Surgery | 2401 University Pkwy, Suite 206, Sarasota, FL 34243-2893 | 2011-03-10 |
| 1619286267 | Orbital and Oculo Facial Consultants, P.a. | Surgery | 2068 Hawthorne St, Suite 201, Sarasota, FL 34239-2307 | 2010-09-30 |
| 1477861672 | Scot E Lance Md Pa | Surgery | 1921 Waldemere St, Suite 801, Sarasota, FL 34239-2943 | 2010-09-22 |
| 1104020056 | Scott Jeffrey Engel | Surgery | 2255 S Tamiami Trl, Sarasota, FL 34239-3806 | 2007-06-13 |
| 1407057805 | Orbital and Oculo Facial Consultants, Pa | Surgery | 2088 Hawthorne St, Sarasota, FL 34239-2307 | 2007-05-31 |
| 1619183753 | Sterling Plastic & Reconstructive Surgeons, Inc. | Surgery | 8800 S Tamiami Trl Ste A, Sarasota, FL 34238 | 2007-05-15 |
| 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.