NPIMap

Organization Active NPI

Olympia Anesthesia LLC

  • Anesthesiology Physician
  • Tampa, FL
National Provider Identifier
1649761164
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OLYMPIA ANESTHESIA LLC
Practice address
16618 Villalenda de Avila
Tampa, FL 33613-5200
Phone
(813) 263-7457
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Roderick M Fitz-Randolph, MDNPI 1851378178
Title
Owner
Phone
(813) 263-7457

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: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

16618 Villalenda de Avila
Tampa, FL 33613-5200

Mailing address

16618 Villalenda de Avila
Tampa, FL 33613-5200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1649761164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16618 VILLALENDA DE AVILA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16618 VILLALENDA DE AVILA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135200",
            "telephone_number": "813-263-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "FITZ-RANDOLPH",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-263-7457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 21, 2018; 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.