INTERCOASTAL MEDICAL GROUP AMBULATORY SURGERY CENTER
NPI 1801869847
Clinic/Center - Ambulatory Surgical in Sarasota, FL

Active since February 09, 2006CLIA Certified · 5 labs
3333 CATTLEMEN RD, SUITE 100, SARASOTA, FL 34232(941) 379-5884(941) 379-1760 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intercoastal Medical Group Ambulatory Surgery Center NPPES

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

INTERCOASTAL MEDICAL GROUP AMBULATORY SURGERY CENTER (NPI 1801869847) is a healthcare organization registered as an ambulatory surgical in Sarasota, Florida and active in the NPI registry since February 2006. The organization holds 5 active CLIA laboratory certificates and lists Geoffrey G Simon, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1801869847
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAESCULAPIAN SURGERY CENTER, LLC
Location Address3333 CATTLEMEN RD, SUITE 100Sarasota, FL 34232-6056
Mailing Address3333 Cattlemen Rd, Suite 100Sarasota, FL 34232-6056 · (941) 379-5884 · Fax (941) 379-1760
Fax(941) 379-1760
Organization SubpartNo
Authorized OfficialGeoffrey G SimonCeo/administrator · (941) 955-1108
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 17, 2016
NPI 1801869847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in FL · 1181
3333 CATTLEMEN RD, Sarasota, FL 34232

Other Names 1

Doing Business AsIntercoastal Medical Group Ambulatory Surgery Center

Other Identifiers 2

Medicaid075718700FL
Medicare PINF1406FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2169270

Intercoastal Medical Group, Inc · Sarasota, FL
Active · expires Jul 16, 2027
CLIA Number10D2169270
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorTimothy D. Johnson
Laboratory Phone(941) 922-0212
Laboratory LocationIntercoastal Medical Group, Inc8590 Potter Park Dr - Ste A, Sarasota, FL 34238
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2023654

Intercoastal Medical Group, Inc · Sarasota, FL
Active · expires Apr 27, 2027
CLIA Number10D2023654
Laboratory TypeClinical Research
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorTimothy D. Johnson
Laboratory Phone(941) 404-4390
Laboratory LocationIntercoastal Medical Group, Inc2650 Bahia Vista St - Ste 305, Sarasota, FL 34239
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0676645

Intercoastal Medical Group, Inc · Sarasota, FL
Active · expires Oct 28, 2026
CLIA Number10D0676645
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorTimothy D. Johnson
Laboratory Phone(941) 955-1927
Laboratory LocationIntercoastal Medical Group, Inc2881 Hyde Park Street, Sarasota, FL 34239
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0702313

Intercoastal Medical Group, Inc · Sarasota, FL
Active · expires Aug 31, 2026
CLIA Number10D0702313
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTimothy D. Johnson
Laboratory Phone(941) 921-6618
Laboratory LocationIntercoastal Medical Group, Inc8592 Potter Park Drive, Sarasota, FL 34238
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1012524

Intercoastal Medical Group Ambulatory Surgery Ctr · Sarasota, FL
Active · expires May 12, 2027
CLIA Number10D1012524
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorStacie Diller
Laboratory Phone(941) 379-5884
Laboratory LocationIntercoastal Medical Group Ambulatory Surgery Ctr3333 Cattleman Rd #100, Sarasota, FL 34232
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
936 services931 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
808 services792 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
707 services704 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
293 services293 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
134 services132 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
128 services123 patients

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
3333 CATTLEMEN RD, SUITE 206
SARASOTA, FL 34232
Internal Medicine
3333 CATTLEMEN RD, SUITE 208
SARASOTA, FL 34232
Physician Assistant
3333 CATTLEMEN RD, SUITE 210
SARASOTA, FL 34232
Internal Medicine (Gastroenterology)
3333 CATTLEMEN RD, SUITE 204
SARASOTA, FL 34232
Nurse Anesthetist, Certified Registered
3333 CATTLEMEN RD
SARASOTA, FL 34232
Internal Medicine (Gastroenterology)
3333 CATTLEMEN RD, SUITE 204
SARASOTA, FL 34232
Internal Medicine
3333 CATTLEMEN RD, SUITE 208
SARASOTA, FL 34232
Internal Medicine
3333 CATTLEMEN RD, SUITE 210
SARASOTA, FL 34232

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 Aesculapian Surgery Center, LLC's NPI number?

The NPI number for Aesculapian Surgery Center, LLC is 1801869847. It was assigned to this organization in the NPPES registry on February 9, 2006. The provider is doing business as Intercoastal Medical Group Ambulatory Surgery Center.

Where is Aesculapian Surgery Center, LLC located?

Aesculapian Surgery Center, LLC is located at 3333 Cattlemen Rd Suite 100, Sarasota, FL 34232. The listed phone number is (941) 379-5884.

What is Aesculapian Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Aesculapian Surgery Center, LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Aesculapian Surgery Center, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Aesculapian Surgery Center, 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 Aesculapian Surgery Center, LLC was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.