MS. SHELLI M ADAM (NPI# 1235262866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235262866 |
| Entity Type | Individual |
| Full Name | MS. SHELLI M ADAM |
| Credential | P.A.C. |
| Practice Address |
2401 University Pkwy Ste 202 Sarasota FL 34243-2973 |
| Mailing Address |
1219 S East Ave 308 Sarasota FL 34239-2340 |
| Practice Telephone | 9413602579 |
| Practice Fax Number | 9413602580 |
| Mailing Telephone | 7277431083 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9103984 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE NUMBER | PA 9103984 | 01 |
| Street Address |
2401 UNIVERSITY PKWY STE 202 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154820140 | Natalie Smith | Nurse Practitioner | 2401 University Pkwy Ste 202, Sarasota, FL 34243-2973 | 2018-02-06 |
| 1205340726 | Morgan Lynn Benson | Nurse Practitioner | 2401 University Pkwy Ste 202, Sarasota, FL 34243 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817552 | Christopher Matthew Duffy | Physician Assistant | 2123 Grove St, Sarasota, FL 34239-4622 | 2019-12-10 |
| 1114402476 | Chase Lambert | Physician Assistant | 5050 Sandy Cove Ave, Sarasota, FL 34242-1538 | 2018-10-02 |
| 1326444712 | Brittany Eberly | Physician Assistant | 5911 N Honore Ave Ste 210, Sarasota, FL 34243-2657 | 2014-11-12 |
| 1821378571 | Senior Xpress Care LLC | Physician Assistant | 5310 Clark Rd Ste 206, Sarasota, FL 34233-3229 | 2011-08-25 |
| 1215159215 | Elizabeth Ashley Johnson | Physician Assistant | 2800 Hillview St., Sarasota, FL 34239 | 2007-05-02 |
| 1205951522 | Alexander Nicholas Petreas | Physician Assistant | 3420 Fruitville Road, Sarasota, FL 34237 | 2007-03-20 |
| 1104837673 | Mark Andrew Fritschle | Physician Assistant | 8383 S Tamiami Trl Unit 115, Sarasota, FL 34238-2901 | 2006-08-10 |
| 1760436232 | Keith Sieracki | Physician Assistant | 1950 Arlington St Ste 400, Sarasota, FL 34239-3513 | 2006-05-20 |
| 1215988746 | Gerald Douglas Testerman Jr. | Physician Assistant | 5824 Bee Ridge Rd, #446, Sarasota, FL 34233-5065 | 2006-05-12 |
| 1982672077 | Arthur George Ball | Physician Assistant | 2400 Colson Ave, Sarasota, FL 34234-7607 | 2006-03-14 |
| 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.