NPIMap

Organization Active NPI

Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Largo, FL
National Provider Identifier
1316205339
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC
Practice address
201 14TH St SW
Largo, FL 33770-3133
Phone
(813) 844-4434
Fax
(813) 844-4972
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Devanand Mangar, MD
Title
President
Phone
(813) 844-4396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

201 14TH St SW
Largo, FL 33770-3133

Mailing address

265 Brookview Centre Way
Knoxville, TN 37919-4052
Phone (813) 844-4434

Other names 1

  • GTBA LMC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000250 FL Part B Supplier - Clinic/Group Practice 5092628156 Receives reassigned benefits from 1,280 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; Trinity, FL; Temple Terrace, FL; Riverview, FL; Palatka, FL; Odessa, FL; Largo, FL; Lakeland, FL…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

24040 S Tamiami Trl
Ste 201
Bonita Springs, FL 34134
Phone (239) 624-4443

711 S Parsons Ave
Brandon, FL 33511
Phone (813) 654-7111

3501 Health Center Blvd
#200
Estero, FL 34135
Phone (239) 552-7000

3501 Health Center Blvd
Ste 200
Estero, FL 34135
Phone (239) 552-7000

4961 Van Dyke Rd
Lutz, FL 33558
Phone (813) 908-8776

11906 Boyette Rd
Riverview, FL 33569
Phone (813) 609-2034

6006 49th St N
Ste 350C
Saint Petersburg, FL 33709

5810 W Cypress St
Ste D
Tampa, FL 33607
Phone (727) 953-8090

118 S Oregon Ave
Tampa, FL 33606
Phone (239) 200-2353

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Practitioners & affiliated clinicians

Practitioners 1,251

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,251

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1316205339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "813-844-4434",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703133",
            "telephone_number": "813-844-4434",
            "fax_number": "813-844-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MANGAR",
        "authorized_official_first_name": "DEVANAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-844-4396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GTBA LMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.