Eric James Seybolt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9171004 Issued in FL

Practice address

4800 Belfort Road
Jacksonville, FL 32256

Phone

(904) 265-4801

Fax

(904) 265-4811

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Georgetown University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baker County Medical Services IncGroup PAC ID 6103710264, 7 clinicians

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Sunbelt Anesthesia Services, LLCGroup PAC ID 9436392438, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.04 of 100Reported as group

Quality

95.58

Improvement activities

40

Cost

71.72

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Baker County Medical Services Inc

  • Rural Acute Care Hospital
  • Macclenny, FL
  • NPI 1104926401
  Medicare reassignment Care Compare group NPD
• Sunbelt Anesthesia Services, LLC

  • Anesthesiology Physician
  • Ponte Vedra, FL
  • NPI 1205172079

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North Florida Surgery Center Inc

  • Anesthesiology Physician
  • Lake City, FL
  • NPI 1659535367
  Medicare reassignment NPD
• Amelia Anesthesia, PL

  • Anesthesiology Physician
  • Fernandina Beach, FL
  • NPI 1508103540
  NPD
• Baker County Medical Services Inc

  • Rural Health Clinic/Center
  • Macclenny, FL
  • NPI 1386082220
  NPD
• North Florida Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Lake City, FL
  • NPI 1467582437
  NPD
• McGreevy Neurohealth Palm Coast

  • Neurology Physician
  • Palm Coast, FL
  • NPI 1043670532
  NPD (past)
• Sunbelt Visiting Primary Care LLC

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1598278707
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1295894384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BELFORT ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-483-5850",
            "fax_number": "904-483-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BELFORT ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-265-4801",
            "fax_number": "904-265-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYBOLT",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9171004",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9171004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293037400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawson Lane Severin
• Tamara Nicole Sewell
• William Edward Sewell, APRN, FNP-BC, FNP-C
• James Philip Sexsion, FNP-MSN
• Niya Sexton
• Seyed Mohammad Seyedsaadat, MBBS, MD
• Alisa P. Seymore, PHD
• Deanna Seymour, ARNP
• Jason H Seymour, MD
• Meagan Elaine Seymour, DPT

• Certified Registered Nurse Anesthetist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.