Active NPI
Anesthesia Solutions of Clermont LLC
- Pain Medicine Physician
- Winter Park, FL
National Provider Identifier
1154568632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- ANESTHESIA SOLUTIONS OF CLERMONT LLC
- Practice address
- 132 Benmore Dr
Winter Park, FL 32792-4101 - Phone
- (407) 756-1053
- Fax
- (407) 756-1054
- NPI assigned
- Jan 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger W Spencer, MD
- Title
- Member
- Phone
- (941) 360-1566
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
132 Benmore Dr
Winter Park, FL 32792-4101
Mailing address
PO Box 864483
Orlando, FL 32886-4483
Phone (941) 360-1566
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232409600000",
"number": "1154568632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 864483",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328864483",
"telephone_number": "941-360-1566",
"fax_number": "941-358-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 BENMORE DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924101",
"telephone_number": "407-756-1053",
"fax_number": "407-756-1054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA SOLUTIONS OF CLERMONT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "941-360-1566",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"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 Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.