Northstar Anesthesia of Florida LLC
Organization Active NPI Anesthesiology Physician · Irving, TX
NPI 1568056166 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1568056166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- NORTHSTAR ANESTHESIA OF FLORIDA LLC
- Practice address
- 6225 N State Highway 161 Ste 200
Irving, TX 75038-2241 - Phone
- (214) 687-0497
- NPI assigned
- Feb 24, 2021
- Organization subpart
- No
Authorized official
- Name
- Brian Woods, MD
- Title
- President, Emeritus
- Phone
- (214) 687-0015
Practitioners 81
-
Cadat Okera Broderick, D.O.
-
Jackie Lee Cates Jr., CRNA
-
Jason Chung, M.D.
-
Nicole Marie Dibella, CRNA
-
Dalia Figueroa Lebron, M.D.
-
Roy Fontenot, MD
-
Pejman Foroush, MD
-
Sterlin Jourdain, MS, APRN, CRNA
-
Vidya Kamalapur, M.D.
-
Alejandro Leon Sanchez, CRNA
-
Stephanie Marie Leonard, CRNA
-
Christina Marsh, CRNA
-
Alexandra J McGuire, CRNA
-
Victor S Miller, CRNA
-
Samantha Motis, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250408001182 | FL | Part B Supplier - Clinic/Group Practice | 8921522376 |
Receives reassigned benefits from 80 practitioners Practice locations: Brooksville, FL; Jacksonville, FL; Middleburg, FL; Spring Hill, FL |
National Provider Directory
Locations
10461 Quality Dr
Ste 104
Spring Hill, FL 34609
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0497
Other providers in Irving, TX
- North Texas Psychiatry Associates PLLC
- North Texas Stone Management, LP
- North TX Monitoring, PLLC
- Northside Obstetrical and Gynecological Associates PA
- Northstar Anesthesia of California PC
- Northstar Anesthesia of Indiana II, LLC
- Northstar Anesthesia of Kentucky II PLLC
- Northstar Anesthesia of Michigan II PC
- Northstar Anesthesia of Michigan III PLLC
- Northstar Anesthesia of Michigan PLLC
All providers in Irving, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. 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.