Goldcoast Anesthesia Assoc

Organization Active NPI Anesthesiology Physician · Sebastian, FL

NPI 1104830744 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104830744
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
License
ME62542 (FL)
Legal business name
GOLDCOAST ANESTHESIA ASSOC
Practice address
13825 US Highway 1
Sebastian, FL 32958-3232
Phone
(772) 388-9998
Fax
(772) 388-9742
NPI assigned
Jul 28, 2006
Organization subpart
No

Authorized official

Name
Harold J Cordner, M.D. NPI 1487641924
Title
President
Phone
(772) 388-9998

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

13825 US Highway 1
Sebastian, FL 32958
Phone (772) 388-9998

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X ME62542 FL Yes

Addresses

Primary practice location

13825 US Highway 1
Sebastian, FL 32958-3232

Mailing address

13825 US Highway 1
Sebastian, FL 32958-3232
Phone (772) 388-9998

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104830744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583232",
            "telephone_number": "772-388-9998",
            "fax_number": "772-388-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583232",
            "telephone_number": "772-388-9998",
            "fax_number": "772-388-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDCOAST ANESTHESIA ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDNER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-388-9998",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME62542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

All providers in Sebastian, FL · Anesthesiology Physician in Florida

Sources for this page

Verify at the official NPI Registry.