NPIMap

Organization Active NPI

Anesthesia of Indian River Inc

  • Pain Medicine (Anesthesiology) Physician
  • Vero Beach, FL
National Provider Identifier
1225085442
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANESTHESIA OF INDIAN RIVER INC
Practice address
1555 Indian River Blvd
Suite B-120
Vero Beach, FL 32960-7103
Phone
(352) 867-8898
Fax
(352) 732-6282
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Donald Portell, D.O.NPI 1992731004
Title
Auth Rep
Phone
(352) 867-8898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X FL Primary

Addresses

Primary practice location

1555 Indian River Blvd
Suite B-120
Vero Beach, FL 32960-7103

Mailing address

PO Box 91853
Orlando, FL 32891-8953
Phone (352) 867-8898

Other identifiers 1

IdentifierTypeStateIssuer
253409600MedicaidFL

National Provider Directory

National Provider Directory

Locations

3790 7th Ter
Vero Beach, FL 32960
Phone (772) 362-9283

1360 US Highway 1
Vero Beach, FL 32960
Phone (772) 299-1404

699 17th St
Ste E
Vero Beach, FL 32960
Phone (772) 231-7357

1555 Indian River Blvd
Ste B120
Vero Beach, FL 32960
Phone (772) 778-9621

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1225085442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91853",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918953",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD",
            "address_2": "SUITE B-120",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607103",
            "telephone_number": "352-867-8898",
            "fax_number": "352-732-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA OF INDIAN RIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "PORTELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "AUTH REP",
        "authorized_official_telephone_number": "352-867-8898",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253409600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.