NPIMap

Organization Active NPI

Peace River Anesthesiology Associates PA

  • Specialist
  • Punta Gorda, FL
National Provider Identifier
1497737654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PEACE RIVER ANESTHESIOLOGY ASSOCIATES PA
Practice address
809 E Marion Ave
Charlotte Regional Medical Center
Punta Gorda, FL 33950-3819
Phone
(941) 637-2580
Fax
(641) 637-2571
NPI assigned
Nov 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Pollizzi, M. D.NPI 1245337765
Title
President
Phone
(941) 625-1951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

809 E Marion Ave
Charlotte Regional Medical Center
Punta Gorda, FL 33950-3819

Mailing address

PO Box 510626
Punta Gorda, FL 33951-0626
Phone (941) 625-1951

Other identifiers 1

IdentifierTypeStateIssuer
72852OtherFLFL BLUE SHIELD GROUP PROV

National Provider Directory

National Provider Directory

Locations

25097 Olympia Ave
Ste 105
Punta Gorda, FL 33950
Phone (941) 764-5828

Practitioners & affiliated clinicians

Practitioners 96

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 96

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497737654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510626",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510626",
            "telephone_number": "941-625-1951",
            "fax_number": "941-625-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E MARION AVE",
            "address_2": "CHARLOTTE REGIONAL MEDICAL CENTER",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503819",
            "telephone_number": "941-637-2580",
            "fax_number": "641-637-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE RIVER ANESTHESIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLIZZI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-625-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE SHIELD GROUP PROV",
            "identifier": "72852",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.