NPIMap

Organization Active NPI

Centurian Anesthesia Management

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1467172247
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CENTURIAN ANESTHESIA MANAGEMENT
Practice address
6241 Arc Way
Fort Myers, FL 33966-1352
Phone
(239) 278-7405
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Douglas Sean Digby, CRNA
Title
President
Phone
(239) 278-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

6241 Arc Way
Fort Myers, FL 33966-1352

Mailing address

6241 Arc Way
Fort Myers, FL 33966-1352
Phone (239) 278-7405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109003466 FL Part B Supplier - Clinic/Group Practice 0749657450 Receives reassigned benefits from 20 practitioners
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1467172247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 ARC WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661352",
            "telephone_number": "239-278-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6241 ARC WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661352",
            "telephone_number": "239-278-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURIAN ANESTHESIA MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "DIGBY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-278-9955",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.