Mercy Anesthesia Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MERCY ANESTHESIA GROUP, LLC

Practice address

5396 SW 80TH St
Miami, FL 33143-5847

Phone

(305) 665-1902

NPI assigned

Jun 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Betty Mortenson, MDNPI 1598776635

Title

Authorized Representative

Phone

(305) 665-1902

Specialties & licenses 1

Addresses

Tax ID family

Mercy Anesthesia Group LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Anesthesia Group, LLC

  • Certified Registered Nurse Anesthetist
  • Miami, FL
  • NPI 1174561955
  NPD tax ID

Practitioners 1

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.

• Betty M Mortenson, M.D.

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1598776635
  Authorized official Same address or phone

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518901362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011909",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5396 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435847",
            "telephone_number": "305-665-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ANESTHESIA GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "305-665-1902",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Merckel, MD
• Mercurio Medical Supply Inc
• Mercury Therapy Services Corp
• Mercy & Michael Alf, Inc
• Mercy Anesthesia Group, LLC
• Mercy Center Opco LLC
• Mercy Ekg & Echo Readers, Inc
• Mercy Family Care Inc. #1
• Mercy Home Care Inc.
• Mercy Home Health Clinic Inc

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• 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.