DRN Anesthesia, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DRN ANESTHESIA, LLC

Practice address

818 Griffin Rd
Lakeland, FL 33805-2440

Phone

(863) 687-0566

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Donald R Nettlow Jr., MDNPI 1003859349

Title

Managing Member

Phone

(863) 289-1209

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Richard Nettlow Jr., MD

  • Anesthesiology Physician
  • Winter Haven, FL
  • NPI 1003859349
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1023782216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 WOODPOINTE DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 GRIFFIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052440",
            "telephone_number": "863-687-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRN ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "NETTLOW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "863-289-1209",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela G Drayton-Bell
• Joy Marie Dresser
• Dana Dreyer, LMT
• DRM Enterprises Inc (Martin Drug)
• DRM Enterprises Inc (Martin Drug)
• DRS. Converse & Lessard, P.a.
• Drug Prevention Resource Center D.B.a. Inneract Alliance (InnerAct Alliance)
• Ivan Drummer
• Latasha N Drummond
• Erin Nicole Drury

• Anesthesiology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.