Modern Anesthesia Company LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MODERN ANESTHESIA COMPANY LLC

Practice address

300 E Oakland Park Blvd
Suite 502
Oakland Park, FL 33334-2148

Phone

(561) 202-0834

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Tammy Rodriguez

Title

Billing Manager

Phone

(561) 202-0834

Specialties & licenses 1

Addresses

Other names 1

• MAC LLC Doing business as

Locations

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1194064451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E OAKLAND PARK BLVD",
            "address_2": "SUITE 502",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342148",
            "telephone_number": "561-202-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OAKLAND PARK BLVD",
            "address_2": "SUITE 502",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342148",
            "telephone_number": "561-202-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ANESTHESIA COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-202-0834"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stevengrower Gerald Monk, CASE MANAGEMENT

• Anesthesiology Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.