Active NPI
Peter A. Okubo, CRNA
- Certified Registered Nurse Anesthetist
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP3042592
- Practice address
- 2120 NW 107TH Ter
#200
Sunrise, FL 33322-3418 - Phone
- (954) 741-0636
- Fax
- (954) 741-0639
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3042592 | FL | Primary |
Addresses
Primary practice location
2120 NW 107TH Ter
#200
Sunrise, FL 33322-3418
Mailing address
10851 SW 30TH PL
Davie, FL 33328-1541
Phone (954) 261-4106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304183200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3042592 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Millennium Anesthesia PA | Past | Accepting new patients | |
| Northwest Anesthesiologist Group PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1901 Ulmerton Rd
Ste 450
Clearwater, FL 33762
Phone (727) 210-8104
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
5190 SW 8th St
Coral Gables, FL 33134
Phone (305) 445-1585
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230
2229 N Commerce Pkwy
Weston, FL 33326
Phone (954) 389-2446
111 N Lakemont Ave
Ste 2D
Winter Park, FL 32792
Phone (407) 622-2030
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
-
- Pain Medicine (Anesthesiology) Physician
- Miami, FL
- NPI 1194925016
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1285609982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10851 SW 30TH PL",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281541",
"telephone_number": "954-261-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 NW 107TH TER",
"address_2": "#200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333223418",
"telephone_number": "954-741-0636",
"fax_number": "954-741-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUBO",
"first_name": "PETER",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP3042592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304183200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.