West Florida Cardiac Anesthesia Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WEST FLORIDA CARDIAC ANESTHESIA SERVICES LLC

Practice address

21298 Olean Blvd
Port Charlotte, FL 33952-6705

Phone

(941) 360-1566

Fax

(941) 358-9818

NPI assigned

Jul 24, 2013

Organization subpart

No

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

Authorized official

Name

Edward A. Defreitas, MD

Title

Member

Phone

(941) 798-3524

Specialties & licenses 1

Addresses

Practitioners 2

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

• Peter Edward Da Rold, M.D.

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1821048919
  NPD (past)
• Dennis Eric Koselak, M.D.

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1386607919
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1114369600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31603",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336313603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21298 OLEAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526705",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA CARDIAC ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "DEFREITAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "941-798-3524",
        "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": []
}

• Kayla Jeanette Wenk, DMD
• Andreas H Werle, M.D.
• Maureen Ann Wertz, ARNP
• Iyona L Wesley
• West Coast Dental Partners
• Mary Ann West
• Hunter Darwyn White
• James Edward White, MD
• Kathryn White, LCSW
• Kayla Whiteaker

• Anesthesiology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.