Active NPI
David I Antokal, CRNA
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11000385
- Practice address
- 601 Dallas Hwy
Villa Rica, GA 30180-1202 - Phone
- (770) 456-3000
- Fax
- (770) 456-3460
- NPI assigned
- Apr 6, 2006
- Last updated
- Jan 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11000385 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN129608 | GA |
Addresses
Primary practice location
601 Dallas Hwy
Villa Rica, GA 30180-1202
Mailing address
119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone (770) 836-9666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464995055A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Medical Blvd
Englewood, FL 34223-3964
Phone (941) 475-6571
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN129608 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Mulkey Anesthesiology Associates LLC | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| Ispm ASC at Camp Creek LLC | Current | Accepting new patients | |
| Newnan Anesthesia Associates, LLC | Past | Accepting new patients | |
| Tri-County Anesthesia, LLC | Past | Accepting new patients | |
| St. John Anesthesia Services, Inc. | Past | Accepting new patients | |
| Smyrna Anesthesia, LLS | Past | Accepting new patients | |
| Cobb Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778
3870 Medical Park Dr
Ste 100
Austell, GA 30106
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Austell, GA
- NPI 1417288069
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Conyers, GA
- NPI 1750420147
-
dba Alliance Surgery Center at Camp Creek
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1942548870
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiologist Assistant
- Austell, GA
- NPI 1811944705
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1033300298
-
- Anesthesiology Physician
- Smyrna, GA
- NPI 1306854104
-
- Anesthesiology Physician
- Douglasville, GA
- NPI 1073687422
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1265446579
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida St. Petersburg Hospital
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1417910001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AMBULANCE DR",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173857",
"telephone_number": "770-836-9666",
"fax_number": "770-836-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 DALLAS HWY",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301801202",
"telephone_number": "770-456-3000",
"fax_number": "770-456-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOKAL",
"first_name": "DAVID",
"middle_name": "I",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11000385",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN129608",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "464995055A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.