Lidiya Pastukh

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN9327163 Issued in FL

Practice address

5301 S Congress Ave
Atlantis, FL 33462-1149

Phone

(561) 965-7300

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Treasure Coast Anesthesia Group PA

  • Anesthesiology Physician
  • Stuart, FL
  • NPI 1013350875

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1104248699

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Port St Lucie Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Port St Lucie, FL
  • NPI 1215441134

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Tamarac, FL
  • NPI 1366864852

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1437823507

  Nurse Anesthetist, Certified Registered

  NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1184607228

  Nurse Anesthetist, Certified Registered

  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD

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

• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1083011688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 NW FOUST CIRCLE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "917-362-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-965-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTUKH",
        "first_name": "LIDIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9327163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Surgical Associates
• Harish K Panicker, MD
• Terrence Park
• Travis Park, MD
• Timothy Parrett
• Pooja Patel, MD
• Rupa Patel, ACNPC-AG
• Sima Patel, CAA
• Tejas Patel
• Yagnabala Kamal Patel, D.D.S.

• Certified Registered Nurse Anesthetist in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.