Active NPI
Matthew Lee Davis, CRNA
- Certified Registered Nurse Anesthetist
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN3373492
- Practice address
- 5701 Stratford Lane
Lakeland, FL 33813 - Phone
- (863) 514-8640
- NPI assigned
- Jan 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ANT3373492 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN3373492 | FL | Primary |
Addresses
Primary practice location
5701 Stratford Lane
Lakeland, FL 33813
Mailing address
5701 Stratford Lane
Lakeland, FL 33813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000
Hospital & facility affiliations
- Gulf Coast Medical Center Lee Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANT3373492 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Anesthesia Services PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| The Stingl Family Foundation, Inc | Current | Accepting new patients | |
| Care Anesthesia Specialists Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
520 E Strawbridge Ave
Melbourne, FL 32901
1304 Oak St
Melbourne, FL 32901
Phone (321) 345-4002
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
18350 Murdock Cir
Unit 102
Pt Charlotte, FL 33948
Phone (941) 206-7251
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Networks
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Port Charlotte, FL
- NPI 1437745338
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1699881664
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Melbourne, FL
- NPI 1548629108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1003146317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 STRATFORD LANE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 STRATFORD LANE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813",
"telephone_number": "863-514-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MATTHEW",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-08",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ANT3373492",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN3373492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.