Active NPI
Anthony Otero Falero, CRNA
- Certified Registered Nurse Anesthetist
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11007459
- Practice address
- 901 Sterthaus Dr
Ormond Beach, FL 32174-5133 - Phone
- (787) 553-0831
- NPI assigned
- May 16, 2018
- Last updated
- May 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 120395 | PR | |
| Certified Registered Nurse Anesthetist | 367500000X | 11007459 | FL | Primary |
Addresses
Primary practice location
901 Sterthaus Dr
Ormond Beach, FL 32174-5133
Mailing address
258 Jackson Loop
Deland, FL 32724-3251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007459 | FL | MD | Certified Registered Nurse Anesthetist |
| 120395 | PR | MD | Certified Registered Nurse Anesthetist |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1083104905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 JACKSON LOOP",
"city": "DELAND",
"state": "FL",
"postal_code": "327243251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 STERTHAUS DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745133",
"telephone_number": "787-553-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO FALERO",
"first_name": "ANTHONY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-16",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PR",
"license": "120395",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11007459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
- Ormond Rehabilitation and Nursing Center LLC (Ormond Rehabilitation and Nursing Center)
- Ormonds Family Chiropractic Center
- Orthopaedic Surgery and Sports Medicine Center P.a.
- Orthopedic Surgery and Sports Med
- Elizabeth Louise Osborne, APRN
- Cassie Owens
- Luis Oyola, DC
- Pablo Garcia Jr MD
- Gabriella Paiz
- Michael James Palo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.