NPIMap

Organization Active NPI

Amelia Anesthesia, PL

  • Anesthesiology Physician
  • Fernandina Beach, FL
National Provider Identifier
1508103540
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 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
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Michael Howington, MDNPI 1710996210
Title
Medical Director
Phone
(904) 556-1236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130318000401 FL Part B Supplier - Clinic/Group Practice 9436394673 Receives reassigned benefits from 37 practitioners
Practice locations: Fernandina Beach, FL

National Provider Directory

National Provider Directory

Locations

1997 Sadler Rd
Unit 15159
Fernandina Beach, FL 32035

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1508103540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95429 BARNWELL RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341698",
            "telephone_number": "904-624-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-321-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA ANESTHESIA, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "HOWINGTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-556-1236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.