Active NPI
Blue Cloud Anesthesia, LLC
- Anesthesiology Physician
- Tampa, FL
National Provider Identifier
1194456350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- BLUE CLOUD ANESTHESIA, LLC
- Practice address
- 10909 W Linebaugh Ave Ste 102
Tampa, FL 33626-1741 - Phone
- (813) 774-6003
- Fax
- (813) 774-3255
- NPI assigned
- Jun 20, 2022
- 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
- Devin Larsen
- Title
- Ceo
- Phone
- (208) 340-1840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
10909 W Linebaugh Ave Ste 102
Tampa, FL 33626-1741
Mailing address
9709 Lakeside Blvd Ste 350
Spring, TX 77381-1213
Phone (713) 489-2198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Blue Cloud Anesthesia LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Palm Springs, FL
- NPI 1053014746
-
- Anesthesiology Physician
- Fort Myers, FL
- NPI 1124721816
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1376287730
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1790492908
-
- Anesthesiology Physician
- Bridgeton, MO
- NPI 1790562379
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Anesthesiology Physician
- Ponte Vedra, FL
- NPI 1134197486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1194456350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 LAKESIDE BLVD STE 350",
"city": "SPRING",
"state": "TX",
"postal_code": "773811213",
"telephone_number": "713-489-2198",
"fax_number": "713-489-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10909 W LINEBAUGH AVE STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261741",
"telephone_number": "813-774-6003",
"fax_number": "813-774-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE CLOUD ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-20",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-340-1840"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.