Organization Active NPI

Comprehensive Anesthesia of Pinellas LLC

  • Anesthesiology Physician
  • Clearwater, FL
National Provider Identifier
1225403520
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME47220 Issued in FL
Legal business name
COMPREHENSIVE ANESTHESIA OF PINELLAS LLC
Practice address
1988 Gulf to Bay Blvd
Clearwater, FL 33765-3550
Phone
(813) 263-7457
NPI assigned
Dec 11, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. Roderick Morrison Fitz Randolph, MDNPI 1851378178
Title
Owner
Phone
(813) 263-7457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME47220 FL Primary

Addresses

Primary practice location

1988 Gulf to Bay Blvd
Clearwater, FL 33765-3550

Mailing address

16618 Villalenda de Avila
Tampa, FL 33613-5200
Phone (813) 263-7457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161012002461 FL Part B Supplier - Clinic/Group Practice 2860780566 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1225403520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16618 VILLALENDA DE AVILA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135200",
            "telephone_number": "813-263-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653550",
            "telephone_number": "813-263-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ANESTHESIA OF PINELLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "FITZ RANDOLPH",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "MORRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-263-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME47220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.