NPIMap

Organization Active NPI

Sarasota Premier Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Sarasota, FL
National Provider Identifier
1215780580
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SARASOTA PREMIER ANESTHESIA LLC
Practice address
983 S Beneva Rd
Sarasota, FL 34232-2401
Phone
(941) 365-5355
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Jeff Perry
Title
Manager
Phone
(502) 418-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

983 S Beneva Rd
Sarasota, FL 34232-2401

Mailing address

PO Box 738518
Dallas, TX 75373-8518
Phone (888) 717-5383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603004194 FL Part B Supplier - Clinic/Group Practice 4688116890 Receives reassigned benefits from 11 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory
Tax ID family
Sarasota Premier Anesthesia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1215780580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738518",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753738518",
            "telephone_number": "888-717-5383",
            "fax_number": "706-850-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322401",
            "telephone_number": "941-365-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA PREMIER ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-418-4700"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.

Verify at the official NPI Registry.