Individual provider Active NPI

David Scot Ghivizzani, M.D.

  • Anesthesiology Physician
  • Clermont, FL
National Provider Identifier
1497709521
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME66530 Issued in FL
Practice address
1099 Citrus Tower Blvd
Clermont, FL 34711-1947
Phone
(352) 394-4071
NPI assigned
May 22, 2006
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME66530 FL Primary

Addresses

Primary practice location

1099 Citrus Tower Blvd
Clermont, FL 34711-1947

Mailing address

1381 Citrus Tower Blvd
Suite 4
Clermont, FL 34711-1957
Phone (352) 243-9114

Other identifiers 2

IdentifierTypeStateIssuer
25889OtherFLBLUE CROSS BLUE SHIELD
50075802OtherRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000321 FL Practitioner - Anesthesiology 8820074172 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME66530FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Jul 31, 2016 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Jul 31, 2016 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
NTC Anesthesia, PA Past Accepting new patients
South Lake Anesthesia Services, P.a. Past Accepting new patients

Locations

1800 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-7142

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865

890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1405 S Orange Ave
Ste 400
Orlando, FL 32806
Phone (407) 426-8331

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1497709521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 CITRUS TOWER BLVD",
            "address_2": "SUITE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111957",
            "telephone_number": "352-243-9114",
            "fax_number": "352-243-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111947",
            "telephone_number": "352-394-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIVIZZANI",
        "first_name": "DAVID",
        "middle_name": "SCOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME66530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25889",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "50075802",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.