Amelia Anesthesia, PL
Organization Active NPI Anesthesiology Physician · Fernandina Beach, FL
NPI 1508103540 · NPPES record last updated Apr 4, 2013
Key facts
- NPI
- 1508103540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- AMELIA ANESTHESIA, PL
- Practice address
- 1250 S 18TH St
Anesthesia Department
Fernandina Beach, FL 32034-1902 - Phone
- (904) 321-3533
- NPI assigned
- Jan 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Michael Howington, MD
- Title
- Medical Director
- Phone
- (904) 556-1236
Practitioners 39
-
Charlie Crosby, CRNA
-
Cameron Scott Cushenbery, CRNA
-
Alicia S Hawkins, CRNA
-
Jane Herzog, CRNA
-
Jason Stuart Kelly, M.D.
-
Denis M Kennedy, CRNA
-
Barbara Moger, CRNA
-
Todd Longford Murphy, M.D.
-
Leon L Sanders, CRNA
-
Wendy Christine Slabaugh, CRNA
-
Jeremy Brian Cushing, CRNA
-
James Gilbert Luton, CRNA
-
Julia A. Bailey, CRNA
-
Efrain Deleon Jr., CRNA
-
Emilie M Henderson, CRNA
-
Cherron Michelle Johnson, CRNA
-
Nicholas M Kalynych, CRNA
-
Jonathan L Pabalate, CRNA
-
Lori N. Placido, CRNA
-
Amanda Prado, CRNA
-
Pamela Nichols Robinson, CRNA
-
Jeffrey Thomas Spencer, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130318000401 | FL | Part B Supplier - Clinic/Group Practice | 9436394673 |
Receives reassigned benefits from 37 practitioners Practice locations: Fernandina Beach, FL |
National Provider Directory
Locations
1997 Sadler Rd
Unit 15159
Fernandina Beach, FL 32035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1250 S 18TH St
Anesthesia Department
Fernandina Beach, FL 32034-1902
Mailing address
95429 Barnwell Rd
Fernandina Beach, FL 32034-1698
Phone (904) 624-7088
Other providers in Fernandina Beach, FL
- Batool Alatrash
- Raeann Alboher
- Melvita J Allen
- Alliance Internal Medicine, PLLC
- Matthew Harold Altman
- Amelia Audiology
- Amelia Behavioral Wellness LLC
- Amelia Chiropractic Clinic
- Amelia Dental Group, PLLC
- Amelia Express Care, LLC
All providers in Fernandina Beach, FL · Anesthesiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.