NPIMap

Organization Active NPI

MNH Gi Anesthesia & Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Maitland, FL
National Provider Identifier
1033436613
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
MNH GI ANESTHESIA & PAIN MANAGEMENT LLC
Practice address
1101 N Maitland Ave
Maitland, FL 32751
Phone
(407) 644-4222
Fax
(407) 644-5073
NPI assigned
Apr 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Mr. David W Holst
Title
President, Board of MGRS & Sole MBR
Phone
(615) 345-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1101 N Maitland Ave
Maitland, FL 32751

Mailing address

401 Commerce St
Suite 600
Nashville, TN 37219-2446
Phone (615) 345-6900

Other practice location 1

740 Concourse Pkwy S Ste 100
Maitland, FL 32751-8101
Phone (407) 644-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000902 FL Part B Supplier - Clinic/Group Practice 2860689759 Receives reassigned benefits from 32 practitioners
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1033436613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-345-6900",
            "fax_number": "615-691-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-644-4222",
            "fax_number": "407-644-5073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Concourse Pkwy S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327518101",
            "country_code": "US",
            "telephone_number": "407-644-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MNH GI ANESTHESIA & PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MGRS & SOLE MBR",
        "authorized_official_telephone_number": "615-345-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.