Active NPI
Omar Perez, CRNA
- Certified Registered Nurse Anesthetist
- Ft Wainwright, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN9218623
- Practice address
- 1060 Gaffney Rd, Fort Wainwright, Ak 99703
Ft Wainwright, AK 99703 - Phone
- (907) 361-5658
- NPI assigned
- Jun 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9218623 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN9218623 | FL | Primary |
Addresses
Primary practice location
1060 Gaffney Rd, Fort Wainwright, Ak 99703
Ft Wainwright, AK 99703
Mailing address
1270 Summit Drive
Fairbanks, AK 99712
Phone (787) 674-6332
Other names 1
- Omar Perez-Figueroa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (772) 589-3185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9218623 | FL | MD | Registered Nurse |
| RN9218623 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Tampa Anesthesia Consultants | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Steward Anesthesiology Physicians of Florida Inc. | Current | Accepting new patients |
Locations
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
2200 W Eau Gallie Blvd
Ste 100
Melbourne, FL 32935
Phone (321) 344-0930
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
8240 Devereux Dr
Ste 100
Melbourne, FL 32940
Phone (317) 805-4102
2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776
220 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 452-9799
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
1402 W Fletcher Ave
Tampa, FL 33612
Phone (813) 627-4723
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
3955 Indian River Blvd
Ste 220
Vero Beach, FL 32960
Phone (772) 213-3600
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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
- Tampa, FL
- NPI 1144216433
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sebastian, FL
- NPI 1336786029
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1659508372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 SUMMIT DRIVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99712",
"telephone_number": "787-674-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD, FORT WAINWRIGHT, AK 99703",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "OMAR",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-20",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9218623",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9218623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OMAR",
"last_name": "PEREZ-FIGUEROA",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ft Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.