NPIMap

Organization Active NPI

Foremost Anesthesia Staffing LLC

  • Anesthesiology Physician
  • Lake City, FL
National Provider Identifier
1346500949
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FOREMOST ANESTHESIA STAFFING LLC
Practice address
368 NE Franklin St
Lake City, FL 32055-3088
Phone
(904) 215-7015
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Deevid Oscar Miller, M.D.
Title
Manager
Phone
(904) 215-7015

Specialties & licenses 1

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

Addresses

Primary practice location

368 NE Franklin St
Lake City, FL 32055-3088

Mailing address

1665 Kingsley Ave
Suite 105
Orange Park, FL 32073-4490
Phone (904) 215-7015

National Provider Directory

National Provider Directory

Locations

1665 Kingsley Ave
Ste 105
Orange Park, FL 32073
Phone (904) 215-7015

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1346500949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 KINGSLEY AVE",
            "address_2": "SUITE 105",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734490",
            "telephone_number": "904-215-7015",
            "fax_number": "904-215-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 NE FRANKLIN ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553088",
            "telephone_number": "904-215-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREMOST ANESTHESIA STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEEVID",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-215-7015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.