Organization Active NPI

Sapphire Anesthesia LLC

  • Anesthesiology Physician
  • Sarasota, FL
National Provider Identifier
1679087522
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SAPPHIRE ANESTHESIA LLC
Practice address
4210 67TH Avenue Cir E
Sarasota, FL 34243-5101
Phone
(410) 458-2292
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Tara Caudil, CRNA
Title
Owner
Phone
(410) 458-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4210 67TH Avenue Cir E
Sarasota, FL 34243-5101

Mailing address

PO Box 4860
Murrells Inlet, SC 29576-2698
Phone (843) 651-2624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181112001979 FL Part B Supplier - Clinic/Group Practice 2668726530 Receives reassigned benefits from 2 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1679087522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4860",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762698",
            "telephone_number": "843-651-2624",
            "fax_number": "843-491-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 67TH AVENUE CIR E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342435101",
            "telephone_number": "410-458-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "CAUDIL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-458-2292",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.