Active NPI
Stephen Barasch, MD
- Anesthesiology Physician
- St Augustine, FL
National Provider Identifier
1700850955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME20241
- Practice address
- 312 S Forest Dune Dr
St Augustine, FL 32080-8704 - Phone
- (904) 461-1232
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME20241 | FL | Primary |
| Anesthesiology Physician | 207L00000X | VA |
Addresses
Primary practice location
312 S Forest Dune Dr
St Augustine, FL 32080-8704
Mailing address
312 S Forest Dune Dr
St Augustine, FL 32080-8704
Phone (904) 461-1232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME20241 | FL | MD | Anesthesiology Physician |
| 011233596 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Pain Management Associates | Anesthesiology | Past | Accepting new patients |
| Coastal Anesthesiology Consultants, LLC | Anesthesiology | Past | Accepting new patients |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients | |
| Morton Plant Mease Outpatient Anesthesiology PA | Past | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients | |
| Anesthesia Associates of Pinellas County | Past | Accepting new patients | |
| Anesthesia Healthcare Partners, Inc. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Specialist
- Clearwater, FL
- NPI 1396772620
-
- Pain Clinic/Center
- Clearwater, FL
- NPI 1477585883
Anesthesiology
-
- Anesthesiology Physician
- St Augustine, FL
- NPI 1366608796
-
- Pain Medicine (Anesthesiology) Physician
- New Port Richey, FL
- NPI 1295789956
-
- Anesthesiology Physician
- Petersburg, VA
- NPI 1477501401
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
-
dba Valley Health Primary Care Strasburg
- Family Medicine Physician
- Strasburg, VA
- NPI 1710494331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1700850955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S FOREST DUNE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320808704",
"telephone_number": "904-461-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S FOREST DUNE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320808704",
"telephone_number": "904-461-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARASCH",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME20241",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.