Organization Active NPI

Summerlin Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1245667542
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SUMMERLIN ANESTHESIA, INC.
Practice address
4035 Evans Ave
Fort Myers, FL 33901-9308
Phone
(239) 466-8838
NPI assigned
Oct 1, 2013
Last updated
May 23, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID M. GUTSTEIN, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
David Michael Gutstein, M.D.NPI 1740279140
Title
President
Phone
(239) 466-8838

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
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

4035 Evans Ave
Fort Myers, FL 33901-9308

Mailing address

6094 14TH St W
Ste 107
Bradenton, FL 34207-4104
Phone (941) 360-1566

National Provider Directory

National Provider Directory
Part of
David M Gutstein MD

Locations

6094 14th St W
Ste 107
Bradenton, FL 34207

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1245667542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 14TH ST W",
            "address_2": "STE 107",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074104",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019308",
            "telephone_number": "239-466-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN ANESTHESIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID M. GUTSTEIN, M.D., P.A.",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "GUTSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-466-8838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "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 May 23, 2014; 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.