Individual provider Active NPI

Craig Paulshock, MD

  • Anesthesiology Physician
  • Celebration, FL
National Provider Identifier
1215974746
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME80253 Issued in FL
Practice address
611 Front St
Celebration, FL 34747-4676
Phone
(407) 414-7576
NPI assigned
Jun 1, 2006
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME80253 FL Primary

Addresses

Primary practice location

611 Front St
Celebration, FL 34747-4676

Mailing address

611 Front St
Celebration, FL 34747-4676
Phone (407) 414-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NH, VI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040715001193 FL Practitioner - Anesthesiology 1951380708 Reassigns benefits to 3 organizations
I20140930002247 NH Practitioner - Anesthesiology 1951380708 Reassigns benefits to 4 organizations
I20220712003406 VI Practitioner - Anesthesiology 1951380708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME80253FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
North Tampa Anesthesia Consultants Anesthesiology CurrentSince Mar 1, 2004 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Aug 13, 2019 Accepting new patients
Floridian Anesthesia Services LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Anesthesia Care Group PC Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 9, 2022 Accepting new patients
Anesthesia Associates Professional Association Anesthesiology CurrentSince Jun 20, 2021 Accepting new patients
Apollo Medical Group of Seabrook PLLC Anesthesiology CurrentSince Feb 27, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 9, 2022 Accepting new patients
Lake County Anesthesia Associates PA Past Accepting new patients
Baycare Anesthesia Associates LLC Anesthesiology Past Accepting new patients
Anesthesia Concepts,LLC Anesthesiology Past Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology Past Accepting new patients
Global Anesthesia Service LLC Past Accepting new patients
Tri-County Anesthesia Volusia Anesthesiology Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients

Locations

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

400 10th St E
Waconia, MN 55387

1 Pillsbury St
Ste 202
Concord, NH 03301
Phone (603) 224-4776

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

325 Lafayette Rd
Seabrook, NH 03874
Phone (603) 218-1793

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: craig.paulshock.1@18417.direct.athenahealth.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1215974746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474676",
            "telephone_number": "407-414-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474676",
            "telephone_number": "407-414-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSHOCK",
        "first_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME80253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.