Active NPI
Allen G Branch, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9271288
- Practice address
- 4519 George Rd
Ste 100
Tampa, FL 33634-7329 - Phone
- (813) 496-1075
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN9271288 | FL | Primary |
Addresses
Primary practice location
4519 George Rd
Ste 100
Tampa, FL 33634-7329
Mailing address
3028 Parkwood Rd
Sebring, FL 33872-2970
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291413100 | Medicaid | FL | |
| E0949 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN, CO
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6185 | NC | MD | Speech-Language Pathologist |
| APRN9271288 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Panhandle Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Anesthesia Care Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Florida Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Digestive Care of Evansville PC | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
13051 University Dr
Ste 102
Fort Myers, FL 33907
Phone (239) 590-6111
63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103
801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103
647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1962926568
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- South Bend, IN
- NPI 1073899449
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Panama City, FL
- NPI 1982241360
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Gastroenterology Physician
- Newburgh, IN
- NPI 1376751891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1508880444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 PARKWOOD RD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 GEORGE RD",
"address_2": "STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347329",
"telephone_number": "813-496-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "ALLEN",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9271288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291413100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "E0949",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.