Organization Active NPI

Indialantic Anesthesia Services

  • Anesthesiology Physician
  • Melbourne, FL
National Provider Identifier
1487382289
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
INDIALANTIC ANESTHESIA SERVICES
Practice address
95 Bulldog Blvd Ste 101
Melbourne, FL 32901-3175
Phone
(321) 729-9493
Fax
(321) 729-7643
NPI assigned
Aug 10, 2022
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Dr. Steven Durham Williams, MDNPI 1326088493
Title
Owner/Anesthesiologist
Phone
(831) 998-0887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

95 Bulldog Blvd Ste 101
Melbourne, FL 32901-3175

Mailing address

870 N Miramar Ave # 777
Indialantic, FL 32903-3054
Phone (831) 998-0887

Other practice location 1

220 N Sykes Creek Pkwy Ste 101
Merritt Island, FL 32953-3490
Phone (831) 998-0887

National Provider Directory

National Provider Directory

Locations

95 Bulldog Blvd
Ste 101
Melbourne, FL 32901
Phone (321) 722-9731

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1487382289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MIRAMAR AVE # 777",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033054",
            "telephone_number": "831-998-0887",
            "fax_number": "321-204-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BULLDOG BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013175",
            "telephone_number": "321-729-9493",
            "fax_number": "321-729-7643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Sykes Creek Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533490",
            "country_code": "US",
            "telephone_number": "831-998-0887",
            "fax_number": "321-204-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDIALANTIC ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DURHAM",
        "authorized_official_title_or_position": "OWNER/ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "831-998-0887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.