NPIMap

Organization Active NPI

Professional Anesthesia Associates of Venice

  • Anesthesiology Physician
  • Venice, FL
National Provider Identifier
1477657401
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PROFESSIONAL ANESTHESIA ASSOCIATES OF VENICE
Practice address
600 Nokomis Ave S
Ste 200
Venice, FL 34285-3209
Phone
(941) 485-0295
NPI assigned
Sep 11, 2006
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Dan Kirkpatrick
Title
Authorized Official
Phone
(941) 365-1172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X FL Primary

Addresses

Primary practice location

600 Nokomis Ave S
Ste 200
Venice, FL 34285-3209

Mailing address

PO Box 22845
Tampa, FL 33622-2845
Phone (800) 645-4049

National Provider Directory

National Provider Directory

Locations

1283 Jacaranda Blvd
Venice, FL 34292
Phone (941) 445-5054

530 Nokomis Ave S
Ste 16
Venice, FL 34285
Phone (813) 484-2002

600 Nokomis Ave S
Ste 200
Venice, FL 34285
Phone (941) 485-0295

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1477657401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22845",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336222845",
            "telephone_number": "800-645-4049",
            "fax_number": "913-696-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NOKOMIS AVE S",
            "address_2": "STE 200",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853209",
            "telephone_number": "941-485-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA ASSOCIATES OF VENICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "941-365-1172"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.