NPIMap

Organization Active NPI

Florida Gulf-to-Bay Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Evansville, IN
National Provider Identifier
1083665426
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FLORIDA GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC
Practice address
300 Circle Front Dr
Evansville, IN 47715-7196
Phone
(813) 844-4396
Fax
(813) 844-4972
NPI assigned
May 12, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Devanand Mangar, M.D.NPI 1215980958
Title
President
Phone
(813) 844-4396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X FL
Anesthesiology Physician 207L00000X IN Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X FL
Pain Medicine (Anesthesiology) Physician 207LP2900X FL
Pain Medicine (Anesthesiology) Physician 207LP2900X IN

Addresses

Primary practice location

300 Circle Front Dr
Evansville, IN 47715-7196

Mailing address

809 S Albany Ave
Tampa, FL 33606-2407
Phone (813) 844-4396

Other identifiers 4

IdentifierTypeStateIssuer
262127400MedicaidFL
200808150AMedicaidIN
45642OtherFLBCBS GROUP NUMBER
DD7966OtherINRR MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1083665426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S ALBANY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062407",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CIRCLE FRONT DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157196",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MANGAR",
        "authorized_official_first_name": "DEVANAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-844-4396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262127400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200808150A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "45642",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD7966",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.