Anesthesiologist Associates Oak Hill Division, PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME89389 Issued in FL

Legal business name

ANESTHESIOLOGIST ASSOCIATES OAK HILL DIVISION, PA

Practice address

4934 W Melrose Ave S
Tampa, FL 33629-5420

Phone

(352) 544-7112

Fax

(352) 688-7224

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Shahout, MD

Title

Owner

Phone

(352) 544-7112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1508097361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15689",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346040122",
            "telephone_number": "352-544-7112",
            "fax_number": "352-688-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 W MELROSE AVE S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295420",
            "telephone_number": "352-544-7112",
            "fax_number": "352-688-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGIST ASSOCIATES OAK HILL DIVISION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "SHAHOUT",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-544-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME89389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.