Organization Active NPI

Central Hernando Surgical Associates P a

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1063473817
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTRAL HERNANDO SURGICAL ASSOCIATES P A
Practice address
11333 Cortez Blvd
Brooksville, FL 34613-6311
Phone
(352) 592-7700
Fax
(352) 592-7734
NPI assigned
Mar 31, 2006
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Natalie L Cranker
Title
Office Manager
Phone
(352) 592-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

11333 Cortez Blvd
Brooksville, FL 34613-6311

Mailing address

11333 Cortez Blvd
Brooksville, FL 34613-5404
Phone (352) 592-7700

Other identifiers 5

IdentifierTypeStateIssuer
5472963OtherFLCCN
228681OtherFLSTAYWELL/WELLCARE AND KID
1856854OtherFLFIRSTHEALTH
268130700MedicaidFL
7186654OtherFLAETNA

National Provider Directory

National Provider Directory

Locations

11333 Cortez Blvd
Brooksville, FL 34613
Phone (352) 592-7700

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1063473817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135404",
            "telephone_number": "352-592-7700",
            "fax_number": "352-592-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136311",
            "telephone_number": "352-592-7700",
            "fax_number": "352-592-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HERNANDO SURGICAL ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "CRANKER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-592-7700"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5472963",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL/WELLCARE AND KID",
            "identifier": "228681",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH",
            "identifier": "1856854",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268130700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7186654",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.