NPIMap

Organization Active NPI

Treasure Coast Anesthesiology, P.a.

  • Interventional Pain Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1225227143
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
TREASURE COAST ANESTHESIOLOGY, P.A.
Practice address
1599 SE Lennard Rd
Port St Lucie, FL 34952-6542
Phone
(772) 337-3350
Fax
(772) 337-3395
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. David Michael Glener, M.D.
Title
President
Phone
(772) 337-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1599 SE Lennard Rd
Port St Lucie, FL 34952-6542

Mailing address

1599 SE Lennard Rd
Port St Lucie, FL 34952-6542
Phone (772) 337-3350

National Provider Directory

National Provider Directory

Locations

561 NW Lake Whitney Pl
Ste 102
Port St Lucie, FL 34986
Phone (772) 337-3350

Practitioners & affiliated clinicians

Practitioners 4

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1225227143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 SE LENNARD RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526542",
            "telephone_number": "772-337-3350",
            "fax_number": "772-337-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 SE LENNARD RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526542",
            "telephone_number": "772-337-3350",
            "fax_number": "772-337-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST ANESTHESIOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "GLENER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-337-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.