Organization Active NPI

Level of Consciousness Services LLC

  • Anesthesiology Physician
  • Belleair, FL
National Provider Identifier
1669037677
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LEVEL OF CONSCIOUSNESS SERVICES LLC
Practice address
401 Corbett St Ste 220
Belleair, FL 33756-7302
Phone
(727) 443-0100
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Jody S Berner, MDNPI 1245280395
Title
President
Phone
(727) 631-0915

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

401 Corbett St Ste 220
Belleair, FL 33756-7302

Mailing address

PO Box 17443
Clearwater, FL 33762-0443
Phone (888) 851-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723003293 FL Part B Supplier - Clinic/Group Practice 8921334350 Receives reassigned benefits from 11 practitioners
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

401 Corbett St
Ste 22
Belleair, FL 33756
Phone (727) 443-0100

Practitioners & affiliated clinicians

Practitioners 12

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1669037677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17443",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337620443",
            "telephone_number": "888-851-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST STE 220",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337567302",
            "telephone_number": "727-443-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL OF CONSCIOUSNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-631-0915",
        "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 Belleair, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.