Individual provider Active NPI

Jeffrey Alan Kidd, M.D.

  • Anesthesiology Physician
  • Orange City, FL
National Provider Identifier
1497717276
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME68980 Issued in FL
Practice address
152 Treemonte Dr
Orange City, FL 32763-7953
Phone
(386) 951-6684
Fax
(386) 960-8948
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME68980 FL
Anesthesiology Physician 207L00000X ME68980 FL Primary

Addresses

Primary practice location

152 Treemonte Dr
Orange City, FL 32763-7953

Mailing address

152 Treemont Dr
Orange City, FL 32763-7953
Phone (386) 951-6684

Other identifiers 1

IdentifierTypeStateIssuer
51540OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, NC, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050427000002 MO Practitioner - Anesthesiology 1153313192
I20050620000547 FL Practitioner - Anesthesiology 1153313192 Reassigns benefits to 4 organizations
I20090115000704 NC Practitioner - Anesthesiology 1153313192 Reassigns benefits to 1 organization
I20171013002442 AL Practitioner - Anesthesiology 1153313192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Anesthesiologists of Greater Orlando IncGroup PAC ID 7416928536, 339 clinicians

Practice addresses (Care Compare)

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1033

22 Underwood St
Orlando, FL 32806-1110
Phone (954) 939-5000

4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3000

52 Underwood St
Orlando, FL 32806-1110
Phone (954) 939-5000

83 W Miller St
Orlando, FL 32806-2031
Phone (954) 939-5000

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68980FLMDAnesthesiology Physician
40121GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Oct 21, 2017 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Oct 22, 2020 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Apr 6, 2020 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology Current Accepting new patients
Southern Alabama Surgery Center LLC Anesthesiology CurrentSince May 10, 2017 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Oct 21, 2017 Accepting new patients
East Carolina Health - Heritage Inc CurrentSince Dec 1, 2008 Accepting new patients
East Carolina Health - Heritage Inc Anesthesiology CurrentSince Dec 1, 2008 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Apr 6, 2020 Accepting new patients
Kidd Anesthesia Services, Inc Pain Medicine CurrentSince Aug 25, 2019 Accepting new patients
Pain Management Center, Inc Pain Medicine CurrentSince Aug 25, 2019 Accepting new patients
Granite City Clinic Corp Anesthesiology Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Anesthesiology Past Accepting new patients
Specialists in Anesthesia PC Anesthesiology Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
Amsol Physicians of Elkin NC Anesthesiology Past Accepting new patients
John D. Woody, MD, PA Pain Medicine Past Accepting new patients
Anesthesia Health Care Partners of Florida Inc Anesthesiology Past Accepting new patients
Granite City Physicians Corp Past Accepting new patients

Locations (25 of 32)

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

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

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

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

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

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

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

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

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

152 Treemonte Dr
Orange City, FL 32763
Phone (386) 951-6565

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

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

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1497717276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 TREEMONT DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637953",
            "telephone_number": "386-951-6684",
            "fax_number": "386-960-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 TREEMONTE DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637953",
            "telephone_number": "386-951-6684",
            "fax_number": "386-960-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME68980",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME68980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51540",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.