Organization Active NPI

Anesthesia Associates of Vero Beach PA

  • Anesthesiology Physician
  • Vero Beach, FL
National Provider Identifier
1235329814
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME89357 Issued in FL
Legal business name
ANESTHESIA ASSOCIATES OF VERO BEACH PA
Practice address
1355 37TH St
Suite 304
Vero Beach, FL 32960-7321
Phone
(772) 794-4236
Fax
(772) 794-4621
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
James W. Agnew, M.D.
Title
Owner
Phone
(772) 794-4236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X ME89357 FL Primary

Addresses

Primary practice location

1355 37TH St
Suite 304
Vero Beach, FL 32960-7321

Mailing address

1355 37TH St
Suite 304
Vero Beach, FL 32960-7321
Phone (772) 794-4236

Other identifiers 2

IdentifierTypeStateIssuer
AG586OtherFLMEDICARE PTAN
16367OtherFLBLUE CROSS BLUE SHIELD FL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1235329814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 304",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607321",
            "telephone_number": "772-794-4236",
            "fax_number": "772-794-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 304",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607321",
            "telephone_number": "772-794-4236",
            "fax_number": "772-794-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF VERO BEACH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-794-4236",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME89357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AG586",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "16367",
            "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 Jun 20, 2008; 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.