Organization Active NPI

Jacaranda Pointe Anesthesia PL

  • Anesthesiology Physician
  • Venice, FL
National Provider Identifier
1104097369
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JACARANDA POINTE ANESTHESIA PL
Practice address
8421 Pointe Loop Dr
Venice, FL 34293-2232
Phone
(941) 412-2100
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Alan Glover, MD
Title
Director
Phone
(941) 377-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

8421 Pointe Loop Dr
Venice, FL 34293-2232

Mailing address

8421 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 412-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1104097369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 POINTE LOOP DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932232",
            "telephone_number": "941-412-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 POINTE LOOP DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342932232",
            "telephone_number": "941-412-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACARANDA POINTE ANESTHESIA PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-377-7622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.