Jayco Anesthesia Service LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

JAYCO ANESTHESIA SERVICE LLC

Practice address

2325 Ulmerton Rd
Ste. 27
Clearwater, FL 33762-2282

Phone

(727) 592-0991

Fax

(727) 209-4606

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Jabari Jawanza, M.D.

Title

Sole Member

Phone

(941) 921-8122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1689823387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD STE 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495042",
            "telephone_number": "310-471-5852",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 ULMERTON RD",
            "address_2": "STE. 27",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622282",
            "telephone_number": "727-592-0991",
            "fax_number": "727-209-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYCO ANESTHESIA SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "JAWANZA",
        "authorized_official_first_name": "JABARI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "941-921-8122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jaworek
• Jay E Carpenter MD PA
• Jay Rosenfeld OD PA
• Jayam K. Iyer M.D., P.a
• Jayasri Duggirala MD PA
• Jba SVCS Inc D/B/a Immaculate House at Countryside
• JCS Medical Associates PLC
• JDG Circle Inpatient Services LLC
• Nisrene Jebara, DNP
• Orinthal Jefferson, MASTERS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.