NPIMap

Organization Active NPI

Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
National Provider Identifier
1720039746
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC
Practice address
1 Tampa General Cir
Tampa, FL 33606-3571
Phone
(813) 844-7000
Fax
(813) 844-4972
NPI assigned
May 15, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Stacey Wilson
Title
Director
Phone
(865) 985-7114

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiologist Assistant 367H00000X
Anesthesiology Physician 207L00000X FL Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X FL
Pain Medicine (Anesthesiology) Physician 207LP2900X FL

Addresses

Primary practice location

1 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053
Phone (865) 985-7114

Other practice location 1

10740 Palm River Rd Ste 200
Tampa, FL 33619-4574
Phone (877) 307-4554

Other practice location 2

516 Vonderburg Dr
Brandon, FL 33511-5954
Phone (813) 654-7771

Other practice location 3

13330 Usf Laurel Dr Fl 2
Tampa, FL 33612-6601
Phone (813) 396-2376

Other practice location 4

5016 W Cypress St Ste 210
Tampa, FL 33607-3809
Phone (813) 387-9889

Other practice location 5

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-0566

Other practice location 6

5329 Primrose Lake Cir
Tampa, FL 33647-3521
Phone (813) 463-9762

Other practice location 7

5901 E Fowler Ave Ste 200
Temple Terrace, FL 33617-2305
Phone (813) 978-9700

Other practice location 8

611 Zeagler Dr
Palatka, FL 32177-3810
Phone (386) 328-5711

Other practice location 9

818 Griffin Rd
Lakeland, FL 33805-2440
Phone (863) 687-1100

Other practice location 10

2020 Trinity Oaks Blvd
Trinity, FL 34655-4402
Phone (727) 372-4055

Other practice location 11

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 394-5300

Other practice location 12

6119 Gunn Hwy
Tampa, FL 33625-4013
Phone (813) 387-9889

Other practice location 13

900 Carillon Pkwy Ste 202
St Petersburg, FL 33716-1108
Phone (727) 561-2710

Other identifiers 3

IdentifierTypeStateIssuer
40929OtherFLBCBS GROUP NUMBER
5250415OtherFLAETNA GROUP NUMBER
004944500MedicaidFL

Other names 1

  • Gulf to Bay Anesthesiology Associates PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000250 FL Part B Supplier - Clinic/Group Practice 5092628156 Receives reassigned benefits from 1,280 practitioners
16 other NPIs on this enrollment
Practice locations: Tampa, FL; Trinity, FL; Temple Terrace, FL; Riverview, FL; Palatka, FL; Odessa, FL; Largo, FL; Lakeland, FL…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1,390

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,390

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1720039746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194053",
            "telephone_number": "865-985-7114",
            "fax_number": "865-692-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-7000",
            "fax_number": "813-844-4972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 Palm River Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336194574",
            "country_code": "US",
            "telephone_number": "877-307-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115954",
            "country_code": "US",
            "telephone_number": "813-654-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13330 Usf Laurel Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336126601",
            "country_code": "US",
            "telephone_number": "813-396-2376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5016 W Cypress St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336073809",
            "country_code": "US",
            "telephone_number": "813-387-9889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054543",
            "country_code": "US",
            "telephone_number": "863-687-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5329 Primrose Lake Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473521",
            "country_code": "US",
            "telephone_number": "813-463-9762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 E Fowler Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336172305",
            "country_code": "US",
            "telephone_number": "813-978-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Zeagler Dr",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321773810",
            "country_code": "US",
            "telephone_number": "386-328-5711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Griffin Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052440",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Trinity Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554402",
            "country_code": "US",
            "telephone_number": "727-372-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8787 Bryan Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337771251",
            "country_code": "US",
            "telephone_number": "727-394-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6119 Gunn Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254013",
            "country_code": "US",
            "telephone_number": "813-387-9889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Carillon Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161108",
            "country_code": "US",
            "telephone_number": "727-561-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-985-7114"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "40929",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "5250415",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004944500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf to Bay Anesthesiology Associates PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.