Organization Active NPI

Serenity Anesthesia LLC

  • Anesthesiology Physician
  • Sarasota, FL
National Provider Identifier
1093003535
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SERENITY ANESTHESIA LLC
Practice address
2800 Bahia Vista St
Ste 300
Sarasota, FL 34239-2710
Phone
(941) 373-9808
NPI assigned
Jul 19, 2011
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Lee Scott Mitchel, MDNPI 1558342832
Title
Authorized Official
Phone
(941) 232-4486

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239-2710

Mailing address

PO Box 6277
Springfield, IL 62708-6277
Phone (888) 851-4642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000250 FL Part B Supplier - Clinic/Group Practice 8022289966 Receives reassigned benefits from 35 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

6094 14th St W
Ste 108
Bradenton, FL 34207

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1093003535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6277",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627086277",
            "telephone_number": "888-851-4642",
            "fax_number": "240-342-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BAHIA VISTA ST",
            "address_2": "STE 300",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392710",
            "telephone_number": "941-373-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "MITCHEL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "941-232-4486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.