NPIMap

Organization Active NPI

Amsurg Rockledge FL Anesthesia LLC

  • Anesthesiology Physician
  • Rockledge, FL
National Provider Identifier
1083953772
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AMSURG ROCKLEDGE FL ANESTHESIA LLC
Practice address
1974 Rockledge Blvd
Suite 102
Rockledge, FL 32955-3756
Phone
(321) 504-4440
Fax
(321) 504-4470
NPI assigned
Jan 31, 2013
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Jean Kochendofer
Title
Sr Director of RCM Transformation
Phone
(615) 240-3795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X FL Primary

Addresses

Primary practice location

1974 Rockledge Blvd
Suite 102
Rockledge, FL 32955-3756

Mailing address

1A Burton Hills Blvd
Attn: Provider Enrollment
Nashville, TN 37215-6187
Phone (615) 240-3809

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kat.suarez@amsurg.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130409000359 FL Part B Supplier - Clinic/Group Practice 1456597871 Receives reassigned benefits from 24 practitioners
Practice locations: Rockledge, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1083953772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3809",
            "fax_number": "615-234-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 ROCKLEDGE BLVD",
            "address_2": "SUITE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553756",
            "telephone_number": "321-504-4440",
            "fax_number": "321-504-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSURG ROCKLEDGE FL ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "KOCHENDOFER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "SR DIRECTOR OF RCM TRANSFORMATION",
        "authorized_official_telephone_number": "615-240-3795"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kat.suarez@amsurg.com",
            "affiliation": "N",
            "address_1": "1974 Rockledge Blvd",
            "address_2": "Suite 102",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329553756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.