Organization Active NPI

Suncoast Anesthesiology Inc.

  • Anesthesiology Physician
  • Temple Terrace, FL
National Provider Identifier
1326326323
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

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

Mailing address

15380 N Florida Ave
Reviving My Health Suite 101
Tampa, FL 33613
Phone (813) 898-8980

National Provider Directory

National Provider Directory

Locations

15380 N Florida Ave
Ste 101
Tampa, FL 33613

NPI Registry JSON

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": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • 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.