Alexis Taqwan Sockwell, pa-c
Physician Assistant, Surgical in Sarasota, FL. Individual provider (NPI-1).
NPI number1023092913
StatusActive
Last updated in NPPESFeb 20, 2013
Details
- NPI
- 1023092913
- Entity type
- Individual (NPI-1)
- Name
- Mr. Alexis Taqwan Sockwell
- Credential
- pa-c
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2005
- Last updated
- Feb 20, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | pa9101772 | FL | Yes |
Practice location
6050 Cattleridge BlvdSte 201
Sarasota, FL 34232-6014
Phone 941-365-0655 · Fax 941-366-8043
Mailing address
Po Box 50922Sarasota, FL 34232-0307
Phone 941-914-6610 · Fax 941-866-8121
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