Active NPI
Bay Area Anesthesia LLC
- Pain Medicine (Anesthesiology) Physician
- Clearwater, FL
National Provider Identifier
1497328173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- BAY AREA ANESTHESIA LLC
- Practice address
- 2454 N McMullen Booth Rd Ste 601
Clearwater, FL 33759-1345 - Phone
- (877) 328-1119
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Vaughn
- Title
- Officer
- Phone
- (404) 450-4684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
2454 N McMullen Booth Rd Ste 601
Clearwater, FL 33759-1345
Mailing address
PO Box 743617
Atlanta, GA 30374-3617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041115000607 | FL | Part B Supplier - Clinic/Group Practice | 1153385612 |
Receives reassigned benefits from 59 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Largo, FL; Lutz, FL; Trinity, FL |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pain Medicine (Anesthesiology) Physician
- Largo, FL
- NPI 1700459484
O20041115000607
-
- Pain Medicine (Anesthesiology) Physician
- Saint Petersburg, FL
- NPI 1730752312
O20041115000607
National Provider Directory
National Provider DirectoryLocations
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Plantation, FL
- NPI 1225558273
-
- Anesthesiologist Assistant
- Lutz, FL
- NPI 1164199642
-
- Anesthesiology Physician
- Auburn, ME
- NPI 1003818923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1497328173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743617",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2454 N MCMULLEN BOOTH RD STE 601",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591345",
"telephone_number": "877-328-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "404-450-4684"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.