Organization Active NPI

Gulfshore Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1184963795
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2027442 Issued in FL
Legal business name
GULFSHORE ANESTHESIA SERVICES LLC
Practice address
1064 Goodlette Rd
Naples, FL 34102-5449
Phone
(239) 649-1186
Fax
(239) 262-4367
NPI assigned
Feb 4, 2013
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Dr. Raymond W PhillipsNPI 1437155231
Title
President
Phone
(239) 649-1186

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
Certified Registered Nurse Anesthetist 367500000X ARNP9330297 FL
Certified Registered Nurse Anesthetist 367500000X ARNP2027442 FL Primary

Addresses

Primary practice location

1064 Goodlette Rd
Naples, FL 34102-5449

Mailing address

1064 Goodlette Rd
Naples, FL 34102-5449
Phone (239) 649-1186

National Provider Directory

National Provider Directory

Locations

1064 Goodlette Rd
Naples, FL 34102
Phone (239) 649-1186

4968 Tamiami Trl N
Naples, FL 34103
Phone (239) 331-3834

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1184963795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 GOODLETTE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025449",
            "telephone_number": "239-649-1186",
            "fax_number": "239-262-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 GOODLETTE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025449",
            "telephone_number": "239-649-1186",
            "fax_number": "239-262-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-649-1186",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9330297",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2027442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.