NPIMap

Organization Active NPI

Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
National Provider Identifier
1487945895
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FLEMING ISLAND ANESTHESIA LLC
Practice address
1670 Eagle Harbor Pkwy
Orange Park, FL 32003-4820
Phone
(904) 644-0700
NPI assigned
Apr 20, 2011
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Laura Adkins
Title
Manager
Phone
(828) 424-0869

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1670 Eagle Harbor Pkwy
Orange Park, FL 32003-4820

Mailing address

LB# 8532 PO Box 95000
Philadelphia, PA 19195-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000345 FL Part B Supplier - Clinic/Group Practice 6002084860 Receives reassigned benefits from 879 practitioners

National Provider Directory

National Provider Directory

Locations

401 Corbett St
Ste 330
Belleair, FL 33756
Phone (404) 575-1976

6001 Broken Sound Pkwy NW
#150
Boca Raton, FL 33487
Phone (888) 822-7844

2416 Lynndale Rd
Fernandina Beach, FL 32034
Phone (904) 432-1521

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

4035 Southpoint Blvd
Jacksonville, FL 32216
Phone (833) 894-4420

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

311 W Oak St
Kissimmee, FL 34741
Phone (407) 933-1423

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

201 Mohawk Rd
Ste 200
Minneola, FL 34715
Phone (352) 758-2540

3710 Lake Center Dr
Mount Dora, FL 32757
Phone (352) 383-1268

110 Underwood St
Ste B
Orlando, FL 32806
Phone (407) 342-5842

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166

2851 Height St
Sarasota, FL 34240
Phone (516) 458-5128

6050 Cattleridge Blvd
Ste 201
Sarasota, FL 34232
Phone (941) 365-0655

Practitioners & affiliated clinicians

Practitioners 896

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 896

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1487945895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LB# 8532 PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 EAGLE HARBOR PKWY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034820",
            "telephone_number": "904-644-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEMING ISLAND ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-424-0869"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.