Individual provider Active NPI

Martha Ann Vanclief, M.D.

  • Anesthesiology Physician
  • Lakeland, FL
National Provider Identifier
1295782522
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME152462 Issued in FL
Practice address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone
(863) 680-7000
Fax
(866) 264-8519
NPI assigned
May 30, 2006
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D54084 MD
Anesthesiology Physician 207L00000X ME152462 FL Primary

Addresses

Primary practice location

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019

Mailing address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone (863) 680-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210217000083 TX Practitioner - Anesthesiology 3870489800 Reassigns benefits to 1 organization
I20210925000151 FL Practitioner - Anesthesiology 3870489800 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of New Mexico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James G Hankerson PAGroup PAC ID 1254424955, 19 clinicians

Practice addresses (Care Compare)

2727 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6383
Phone (813) 877-8094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D54084MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfcoast Spine Institute, LLC CurrentSince Mar 1, 2023 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 4, 2021 Accepting new patients
James G Hankerson PA Anesthesiology CurrentSince Jun 24, 2024 Accepting new patients
Floridian Anesthesia Services LLC Anesthesiology CurrentSince May 16, 2023 Accepting new patients
Gulfcoast Spine Institute, LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Biospine LLC Past Accepting new patients
Meridian Anesthesia Practice, L.L.C Past Accepting new patients

Locations

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

1715 N West Shore Blvd
Ste 190
Tampa, FL 33607
Phone (813) 870-1000

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

4211 W Boy Scout Blvd
Ste 400
Tampa, FL 33607
Phone (813) 443-2108

5301 Avion Park Dr
Tampa, FL 33607
Phone (813) 280-7809

9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779

1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1295782522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053019",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053019",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCLIEF",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D54084",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME152462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.