Active NPI
Robert M Clonan, CRNA
- Certified Registered Nurse Anesthetist
- Gainesville, FL
National Provider Identifier
1003809237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1781882
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (800) 642-1999
- Fax
- (248) 646-0361
- NPI assigned
- Aug 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1781882 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
PO Box 918025
Orlando, FL 32891-8025
Phone (800) 642-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300502000 | Medicaid | FL |
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, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 E Venice Ave
Venice, FL 34285-7151
Phone (941) 484-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29346 | AL | MD | Emergency Medicine Physician |
| 1781882 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Regional Anesthesia, PC | Past | Accepting new patients | |
| Valley Medical Facilities Inc | Past | Accepting new patients | |
| Lexington Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Blair County Anesthesia, P.C. | Past | Accepting new patients | |
| Port Charlotte Hma LLC | Past | Accepting new patients | |
| Peace River Anesthesiology Associates PA | Past | Accepting new patients | |
| Wolverine Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Memorial Health Anesthetists | Past | Accepting new patients | |
| Charlotte Harbor Anesthesia PA | Past | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients |
Organizations & group practices 12
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.
-
- Certified Registered Nurse Anesthetist
- Venice, FL
- NPI 1881652899
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1912012642
-
- Specialist
- Punta Gorda, FL
- NPI 1497737654
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1053364703
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1003985573
-
- Rural Health Clinic/Center
- Arcadia, FL
- NPI 1730672379
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1558381392
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Altoona, PA
- NPI 1003864612
-
- Certified Registered Nurse Anesthetist
- Altoona, PA
- NPI 1932144029
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1770664617
-
- Specialist
- Valdosta, GA
- NPI 1396763256
-
- General Acute Care Hospital
- Sewickley, PA
- NPI 1588770416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1003809237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 918025",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328918025",
"telephone_number": "800-642-1999",
"fax_number": "248-646-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "800-642-1999",
"fax_number": "248-646-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLONAN",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "1781882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300502000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.