Peter K Soutullo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP1859232 Issued in FL

Practice address

1000 W Moreno St
Pensacola, FL 32501-2316

Phone

(850) 437-8390

Fax

(850) 437-8394

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ams of Gulf Breeze LLCGroup PAC ID 9537326665, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ams of Gulf Breeze LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1376812032

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ams Baptist LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1093020216

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Anesthesia Group, P.a.

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1871532226
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc.

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346291069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10824",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352020824",
            "telephone_number": "205-322-1808",
            "fax_number": "205-322-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-437-8390",
            "fax_number": "850-437-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTULLO",
        "first_name": "PETER",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1859232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59170283",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MEDICARE",
            "identifier": "P00134595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G0362",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59170285",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Orthopaedics and Sports Medicine
• Southern Practitioner
• Southern Spinal Rehab, LLC
• Matthew William Southwick, M.D.
• Lauren Soutullo, LMHC
• Luana Souza
• John C Sowers, M.D.
• Spain Wellness Center Inc
• George William Spain, D.C.
• Kathleen L Spalla, PHYSICIAN ASSISTANCE

• Certified Registered Nurse Anesthetist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.