NPIMap

Organization Active NPI

MSC Anesthesia Inc

  • Anesthesiology Physician
  • Bradenton, FL
National Provider Identifier
1073504346
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
HCC4600 Issued in FL
Legal business name
MSC ANESTHESIA INC
Practice address
601 Manatee Ave W
Bradenton, FL 34205-8610
Phone
(941) 745-2727
Fax
(941) 745-2112
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dana J Weinkle, M.D.
Title
President
Phone
(941) 794-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X HCC4600 FL Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X HCC4600 FL

Addresses

Primary practice location

601 Manatee Ave W
Bradenton, FL 34205-8610

Mailing address

601 Manatee Ave W
Bradenton, FL 34205-8610
Phone (941) 745-2727

Other identifiers 4

IdentifierTypeStateIssuer
74974OtherFLBC/BS
61009100OtherUS DEPARTMENT OF LABOR
7462656OtherAETNA
DC7796OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050314000393 FL Part B Supplier - Clinic/Group Practice 7517912579 Receives reassigned benefits from 31 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1073504346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058610",
            "telephone_number": "941-745-2727",
            "fax_number": "941-745-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058610",
            "telephone_number": "941-745-2727",
            "fax_number": "941-745-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSC ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "WEINKLE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-794-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "HCC4600",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "HCC4600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "74974",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "61009100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7462656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC7796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.