NPIMap

Organization Active NPI

Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Jacksonville, FL
National Provider Identifier
1336811686
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA DYNAMICS LLC
Practice address
2627 Riverside Ave
Jacksonville, FL 32204-4717
Phone
(240) 469-2181
NPI assigned
Oct 4, 2021
Organization subpart
Yes
Parent organization
ANESTHESIA DYNAMICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Laura G Adkins
Title
Office Manager
Phone
(240) 469-2181

Specialties & licenses 1

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

Addresses

Primary practice location

2627 Riverside Ave
Jacksonville, FL 32204-4717

Mailing address

LB#8247, PO Box 95000
Philadelphia, PA 19195-0001
Phone (240) 469-2181

Other names 1

  • Southeast Ortho Other name

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia Dynamics LLC78 organizations share this tax ID, including this one
Part of
Anesthesia Dynamics LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1336811686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LB#8247, PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "240-469-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044717",
            "telephone_number": "240-469-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA DYNAMICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANESTHESIA DYNAMICS LLC",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "240-469-2181"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Ortho",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.