Active NPI
David B Koontz, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9244008
- Practice address
- 2 Columbia Dr
Suite A327
Tampa, FL 33606-3508 - Phone
- (813) 844-4396
- Fax
- (813) 844-4972
- NPI assigned
- Dec 8, 2006
- Last updated
- Jun 17, 2008
- 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 | 9244008 | FL | Primary |
Addresses
Primary practice location
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Mailing address
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Phone (813) 844-4396
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308193100 | Medicaid | FL | |
| G4161 | Other | FL | BCBS |
| P00391888 | Other | FL | MEDICARE RAILROAD |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-4396
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9244008 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Michigan Gulf to Bay Anesthesiology Associates PSC | Past | Accepting new patients |
Locations
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
2 Columbia Dr
Ste A327
Tampa, FL 33606
Phone (813) 844-4116
400 N Ashley Dr
Ste 1625
Tampa, FL 33602
Phone (813) 289-6597
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
Interoperability endpoints
- dkoontz9097@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
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
- Tampa, FL
- NPI 1720039746
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiology Physician
- Largo, FL
- NPI 1760740781
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1184839839
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1487713897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COLUMBIA DR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063508",
"telephone_number": "813-844-4396",
"fax_number": "813-844-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COLUMBIA DR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063508",
"telephone_number": "813-844-4396",
"fax_number": "813-844-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONTZ",
"first_name": "DAVID",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9244008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308193100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G4161",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00391888",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.