Suncoast Anesthesiology Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SUNCOAST ANESTHESIOLOGY INC.

Practice address

11811 N Dale Mabry Hwy
Temple Terrace, FL 33637-0917

Phone

(813) 961-8500

NPI assigned

Jul 26, 2011

Last updated

Mar 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Eriksen D.O., DO

Title

Cmo

Phone

(813) 898-8980

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1326326323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15380 N FLORIDA AVE",
            "address_2": "REVIVING MY HEALTH SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-898-8980",
            "fax_number": "813-898-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N DALE MABRY HWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370917",
            "telephone_number": "813-961-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST ANESTHESIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ERIKSEN D.O.",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "813-898-8980",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.