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SKIN SMART DERMATOLOGY
NPI 1376576454
Specialist in Sarasota, FL

Active since July 09, 2006
5911 N HONORE AVE, SUITE 210, SARASOTA, FL 34243(941) 308-7546(941) 308-7550 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Skin Smart Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN SMART DERMATOLOGY (NPI 1376576454) is a healthcare organization registered as a specialist in Sarasota, Florida and active in the NPI registry since July 2006. The organization lists Tom Sidgmore, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1376576454
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELIZABETH F. CALLAHAN, M.D., LLC
Location Address5911 N HONORE AVE, SUITE 210Sarasota, FL 34243-2606
Mailing Address5911 N Honore Ave, Suite 210Sarasota, FL 34243-2606 · (941) 308-7546 · Fax (941) 308-7550
Phone(941) 308-7546
Fax(941) 308-7550
Organization SubpartNo
Authorized OfficialTom SidgmorePractice Administrator · (941) 308-7546
Enumeration DateJuly 9, 2006
Last NPPES UpdateOctober 31, 2019
✔ NPI 1376576454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME89181
Definition
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.
5911 N HONORE AVE, Sarasota, FL 34243
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Other Names 1

Doing Business AsSkin Smart Dermatology

Other Identifiers 15

Other1285828053FL · Cp Npi
Other1861504045FL · Brr Npi
Other8188371FL · Jonelle Cigna Provider Number
OtherME104122FL · Jonelle Medical License
Other1235392424FL · Npi Jamie Raisor
Other48310FL · Bcbs Provider Number
Other00A58FL · Group Bc Provider Number
Other145A6FL · Bc Id Jonelle
OtherY00CFFL · Bbr Bcbs Provider#
Other1477548808FL · Efc Npi
Other7543592FL · Aetna Provider Number
Other10D1031789FL · Clia
OtherAK933YFL · Ptan Jamie Raisor
Other1003844937FL · Jonelle's Npi
Other1376576454FL · Group Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skin Smart Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Skin Smart Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Elizabeth Callahan, M.D., LLC
Dermatology
NPI 1477548808
7978 COOPER CREEK BLVD SUITE 204
University Park, FL 34201
(941) 308-7546
✔ PECOS✔ Accepts Medicare1.0 mi
William Adams, M.D.
Dermatology
NPI 1033306568
310 E BROADWAY SUITE 200
Louisville, KY 40202
(502) 583-1749
✔ PECOS✔ Accepts Medicare772 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth F. Callahan, M.D., LLC's NPI number?

The NPI number for Elizabeth F. Callahan, M.D., LLC is 1376576454. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Skin Smart Dermatology.

Where is Elizabeth F. Callahan, M.D., LLC located?

Elizabeth F. Callahan, M.D., LLC is located at 5911 N Honore Ave Suite 210, Sarasota, FL 34243. The listed phone number is (941) 308-7546.

What is Elizabeth F. Callahan, M.D., LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Elizabeth F. Callahan, M.D., LLC enrolled in Medicare?

Yes. Elizabeth F. Callahan, M.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elizabeth F. Callahan, M.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Elizabeth F. Callahan, M.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elizabeth F. Callahan, M.D., LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Elizabeth F. Callahan, M.D., LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth F. Callahan, M.D., LLC was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.