IMMINENT SURGICAL ASSOCIATES PA (NPI# 1316338551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316338551 |
| Entity Type | Organization |
| Organization Name | IMMINENT SURGICAL ASSOCIATES PA |
| Practice Address |
1700 S Tamiami Trl Sarasota FL 34239-3509 |
| Mailing Address |
Po Box 909 Colorado Springs CO 80901-0909 |
| Practice Telephone | 7195764171 |
| Mailing Telephone | 7195764171 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | RUSSELL JAICKS (OWNER) |
| Authorized Official Telephone | 3037509492 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME113621 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1700 S TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661185 | Wayne S Blake | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239 | 2005-06-28 |
| 1386244937 | Bradley Bramante Inzalaco | Registered Nurse | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-31 |
| 1235739293 | Kevin Lekawa | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-10-29 |
| 1295334449 | Sarah Spivey Stephenson | Surgery | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-20 |
| 1043829435 | Samer Bassam Taher Khader | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-07-30 |
| 1578172623 | Martin Dean Faile | Pharmacist | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-24 |
| 1194333674 | Dana Devine Gau | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-21 |
| 1063020121 | Erica Warkus | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-15 |
| 1336767904 | Kevin Gil | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| 1558989103 | Stephanie Murphy | Student in an Organized Health Care Education/Training Program | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2020-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174796825 | Arundathi Rao | Surgery | 5880 Rand Blvd Ste 101, Sarasota, FL 34238-5118 | 2008-04-02 |
| 1891703112 | Michael Levy | Surgery | 2401 University Pkwy Ste 203, Sarasota, FL 34243-2973 | 2006-08-03 |
| 1457398570 | Jean M Kennar | Surgery | 3920 Bee Ridge Rd Bldg E, Sarasota, FL 34233-1207 | 2006-05-31 |
| 1659329217 | Kenneth L. Meredith | Surgery | 1950 Arlington St Ste 101, Sarasota, FL 34239-3508 | 2006-05-05 |
| 1164422325 | Fredric Jarrett | Surgery | 1888 Brother Geenen Way, Sarasota, FL 34236-7118 | 2005-07-28 |
| 1295334449 | Sarah Spivey Stephenson | Surgery | 1700 S Tamiami Trl, Sarasota, FL 34239-3555 | 2020-10-20 |
| 1396250965 | Fitzgerald Surgical, Pllc | Surgery | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2017-12-05 |
| 1871005116 | Smh Physician Services Inc | Surgery | 1950 Arlington St Ste 310, Sarasota, FL 34239-3513 | 2017-10-26 |
| 1477004877 | Smh Physician Services, Inc | Surgery | 5880 Rand Blvd, Suite 211, Sarasota, FL 34238-5118 | 2016-10-20 |
| 1326434523 | Center for Hernia Repair, LLC | Surgery | 2800 S Tamiami Trl, Sarasota, FL 34239-5103 | 2015-04-14 |
| Find all providers in SARASOTA | ||||
Please comment or provide details below to improve the information on IMMINENT SURGICAL ASSOCIATES PA.
| 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.