Active NPI
Lakewood Ambulatory Anesthesia PLLC
- Anesthesiology Physician
- Bradenton, FL
National Provider Identifier
1013313733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LAKEWOOD AMBULATORY ANESTHESIA PLLC
- Practice address
- 6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209-5525 - Phone
- (941) 360-1566
- Fax
- (941) 358-9818
- NPI assigned
- Nov 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L. Severs, MD
- Title
- Member Manager
- Phone
- (941) 745-6829
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | FL | Primary | |
| Certified Registered Nurse Anesthetist | 367500000X | FL |
Addresses
Primary practice location
6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209-5525
Mailing address
PO Box 25095
Tampa, FL 33622-5095
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1917 Worth Ct
Bradenton, FL 34211
Phone (866) 747-0391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1013313733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25095",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 POINTE WEST BLVD",
"address_2": "STE 101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095525",
"telephone_number": "941-360-1566",
"fax_number": "941-358-9818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD AMBULATORY ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "SEVERS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "941-745-6829",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
- Shirley Laflamme, OTR/L
- Lags Spine and Sportscare Medical Centers, Inc.
- Jiun-Jye Jack Lai
- Lake Erie College of Osteopathic Medicine
- Lakeside Counseling LLC
- Lakewood Cardiovascular Consultants P a
- Lakewood Dental Excellence, P.a.
- Lakewood Ranch Acupuncture and Wellness
- Lakewood Ranch Chiropractic Inc
- Lakewood Ranch Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.