Middle Keys Anesthesia Associates PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MIDDLE KEYS ANESTHESIA ASSOCIATES PA

Practice address

3301 Overseas Hwy
Fishermen'S Hospital Anesthesia Dept
Marathon, FL 33050-2329

Phone

(305) 289-6407

Fax

(305) 289-6417

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Harlan Eric Pettit, M.D.

Title

President / Owner

Phone

(305) 743-0222

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Robin Fulcher, D.O.

  • Anesthesiology Physician
  • Durango, CO
  • NPI 1730138728
  NPD (past)
• Susan Rauckman

  • Certified Registered Nurse Anesthetist
  • Denver, CO
  • NPI 1700811908
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1639128267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PIRATES CV",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502925",
            "telephone_number": "305-743-0222",
            "fax_number": "305-743-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 OVERSEAS HWY",
            "address_2": "FISHERMEN'S HOSPITAL ANESTHESIA DEPT",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502329",
            "telephone_number": "305-289-6407",
            "fax_number": "305-289-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE KEYS ANESTHESIA ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "305-743-0222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5238",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "170677600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "38390",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263445700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Lou McKnight
• Justine Meadors, RN
• Mem Preventive Medical Services LLC
• Scott Brad Lee Meyer Jr., PHARMD
• Mid Keys Counseling
• Middle Keys Chiropractic, Inc.
• Middle Keys Wellness Center, LLC
• Kathryn Anne Millis
• Stephanie Minger, R.N.
• Wayne A Moccia

• Anesthesiology Physician in Marathon, FL
• Providers in Marathon, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.