Songbird Anesthesia Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

9178468 Issued in FL

Legal business name

SONGBIRD ANESTHESIA INC

Practice address

1600 N Summer Ridge CT
St Augustine, FL 32092-3767

Phone

(904) 535-1875

NPI assigned

Aug 23, 2017

Last updated

Aug 23, 2017By 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

Mr. Rudolph Pavlesich, CRNANPI 1609265065

Title

President

Phone

(904) 535-1875

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rudolph Pavlesich III, DNP, CRNA, FNP-BC

  • Certified Registered Nurse Anesthetist
  • Plymouth, NH
  • NPI 1609265065
  Authorized official Same address or phone

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1386161099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N SUMMER RIDGE CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N SUMMER RIDGE CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923767",
            "telephone_number": "904-535-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONGBIRD ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "PAVLESICH",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-535-1875",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9178468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Maxino Soberano, MD
• Edward Andrew Sobolewski, M.D.
• Solantic of Jacksonville, LLC (CareSpot-St. Augustine)
• Solutions for Employee Advancement LLC
• Somto Medical Supply and Home Health Care
• Donald Francis Sonzogni
• James Martin Sopocy, BS
• Stuart A Soroka, M.D.
• Ivette M Sosa Seda, M.D.
• Bryan Sothoron

• Certified Registered Nurse Anesthetist in St Augustine, FL
• Providers in St Augustine, 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 Aug 23, 2017; 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.