Active NPI
ASC Anesthesia Services of Southwest Florida LLC
- Anesthesiology Physician
- Fort Myers, FL
National Provider Identifier
1235570490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ASC ANESTHESIA SERVICES OF SOUTHWEST FLORIDA LLC
- Practice address
- 12631 Whitehall Dr
Fort Myers, FL 33907-3626 - Phone
- (239) 337-7874
- Fax
- (239) 479-7874
- NPI assigned
- Jul 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn L McGrew
- Title
- Billing Manager
- Phone
- (239) 939-4758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
12631 Whitehall Dr
Fort Myers, FL 33907-3626
Mailing address
507 Del Prado Blvd S
Cape Coral, FL 33990-2618
Phone (239) 939-4758
National Provider Directory
National Provider DirectoryLocations
12631 Whitehall Dr
Fort Myers, FL 33907
Phone (239) 337-7874
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- North Venice, FL
- NPI 1528033537
-
- Urology Physician
- Cape Coral, FL
- NPI 1649245036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373932800000",
"number": "1235570490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902618",
"telephone_number": "239-939-4758",
"fax_number": "239-574-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 WHITEHALL DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073626",
"telephone_number": "239-337-7874",
"fax_number": "239-479-7874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASC ANESTHESIA SERVICES OF SOUTHWEST FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A",
"authorized_official_last_name": "MCGREW",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "239-939-4758"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.