Active NPI
Sean Paul Pucci, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 221946
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-8983
- NPI assigned
- Feb 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 221946 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
PO Box 32861
Anesthesia SVCS - 5TH Floor Surgery Tower
Charlotte, NC 28232-2861
Phone (704) 355-8983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1691 | Medicaid | SC | |
| 8053295 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (954) 939-5000
14104 Yosemite Dr
Hudson, FL 34667-6554
Phone (727) 869-5040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3460 | SC | MD | General Practice Dentistry |
| 221946 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lakewood Ranch Anesthesia PL | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthcare Career Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Pinellas Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carolinas Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Tampa Bay Joint and Spine, LLC | Past | Accepting new patients | |
| Butler Medical Providers | Past | Accepting new patients | |
| Butler Medical Providers | Past | Accepting new patients | |
| Butler Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101
3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800
26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
14104 Yosemite Dr
Hudson, FL 34667
Phone (727) 869-5040
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
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
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1104879816
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Clearwater, FL
- NPI 1790447910
Nurse Anesthetist, Certified Registered
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Venice, FL
- NPI 1811569197
-
- Anesthesiology Physician
- Lakewood Ranch, FL
- NPI 1932157989
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1619041514
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Butler, PA
- NPI 1154350981
Nurse Anesthetist, Certified Registered
-
dba Butler Pathology Services
- Anatomic Pathology & Clinical Pathology Physician
- Butler, PA
- NPI 1447283031
-
dba Butler Infectious Disease Services
- Infectious Disease Physician
- Butler, PA
- NPI 1528150844
-
dba Tampa Bay Joint and Spine Surgery Center
- Ambulatory Surgical Clinic/Center
- Clearwater, FL
- NPI 1063092047
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1447225990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32861",
"address_2": "ANESTHESIA SVCS - 5TH FLOOR SURGERY TOWER",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322861",
"telephone_number": "704-355-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCCI",
"first_name": "SEAN",
"middle_name": "PAUL",
"name_prefix": "Prof.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "221946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1691",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053295",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Publix North Carolina LP (Publix Pharmacy #1518)
- Publix North Carolina, LP (Publix Pharmacy #2017)
- Publix North Carolina, LP (Publix Pharmacy #1881)
- Publix North Carolina, LP (Publix Pharmacy #1824)
- Erica Susan Pucci, FNP
- Amy Puchalski
- Ashley Puciaty
- Brenda L. Puckett, LPC
- Allison Marshall Puechl, MD
- Brannon F. Puett, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.