Douglas James Deszell, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Greenville, FL

NPI 1407828858 · NPPES record last updated May 12, 2008

Key facts

NPI
1407828858
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
ARNP1453122 (FL)
Practice address
75 E 5TH CT
Greenville, FL 32331-5201
Phone
(850) 673-1001
Fax
(850) 997-6076
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP1453122FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Anesthesia PL Past Accepting new patients
Anesthesiology of Greenwood PA Past
since Apr 1, 1993
Accepting new patients
Anesthesia Group of Sarasota PA Past Accepting new patients
South Georgia Regional Anesthesia, PC Past Accepting new patients
Atlantic Coast Anesthesia Associates Past Accepting new patients
Anesthesia Associates of Lima Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Capital City Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of the Palm Beaches PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP1453122 FL Yes

Addresses

Primary practice location

75 E 5TH CT
Greenville, FL 32331-5201

Mailing address

PO Box 286
Monticello, FL 32345-0286
Phone (850) 673-1001

Other identifiers

IdentifierTypeStateIssuer
304031300MedicaidFL

Other providers in Greenville, FL

All providers in Greenville, FL · Certified Registered Nurse Anesthetist in Florida

Sources for this page

Verify at the official NPI Registry.