Individual provider Active NPI

Theresa J Cumpstone, M.D.

  • Anesthesiology Physician
  • Orange Park, FL
National Provider Identifier
1023180320
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME103838 Issued in FL
Practice address
1665 Kingsley Ave
Suite 105
Orange Park, FL 32073-4490
Phone
(904) 215-7015
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME103838 FL Primary

Addresses

Primary practice location

1665 Kingsley Ave
Suite 105
Orange Park, FL 32073-4490

Mailing address

1665 Kingsley Ave
Suite 105
Orange Park, FL 32073-4490
Phone (904) 215-7015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000561 FL Practitioner - Anesthesiology 6305983917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME103838FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients

Locations

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1465 Kingsley Ave
Ste 1201
Orange Park, FL 32073
Phone (904) 215-7015

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1023180320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 KINGSLEY AVE",
            "address_2": "SUITE 105",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734490",
            "telephone_number": "904-215-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 KINGSLEY AVE",
            "address_2": "SUITE 105",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734490",
            "telephone_number": "904-215-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMPSTONE",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME103838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.