Organization Active NPI

Amelia Island Anesthesia LLC

  • Anesthesiology Physician
  • Fernandina Beach, FL
National Provider Identifier
1326218439
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME78635 Issued in FL
Legal business name
AMELIA ISLAND ANESTHESIA LLC
Practice address
2416 Lynndale Rd
Suite 110
Fernandina Beach, FL 32034-5252
Phone
(941) 752-1900
Fax
(941) 752-1905
NPI assigned
Mar 4, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Lester N Hauge, MDNPI 1679568182
Title
Owner
Phone
(941) 752-1900

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
Anesthesiology Physician 207L00000X ME78635 FL Primary

Addresses

Primary practice location

2416 Lynndale Rd
Suite 110
Fernandina Beach, FL 32034-5252

Mailing address

1790 Gardenia St
Fernandina Beach, FL 32034-1980
Phone (941) 752-1900

National Provider Directory

National Provider Directory

Locations

2416 Lynndale Rd
Ste 110
Fernandina Beach, FL 32034
Phone (904) 261-1878

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1326218439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 GARDENIA ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341980",
            "telephone_number": "941-752-1900",
            "fax_number": "941-752-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 LYNNDALE RD",
            "address_2": "SUITE 110",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345252",
            "telephone_number": "941-752-1900",
            "fax_number": "941-752-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA ISLAND ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HAUGE",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-752-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME78635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.