Organization Active NPI

Gulf-to-Bay Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Odessa, FL
National Provider Identifier
1730856311
Registry record updated Aug 23, 2021
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
15238 Virginia Sta
Odessa, FL 33556-3500
Phone
(262) 902-2116
NPI assigned
Aug 23, 2021
Organization subpart
Yes
Parent organization
GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Donald Adkins
Title
Provider Enrollment Director
Phone
(865) 293-5328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

15238 Virginia Sta
Odessa, FL 33556-3500

Mailing address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Phone (865) 985-7062

Other names 1

  • ASC of Trinity OP Other name

National Provider Directory

National Provider Directory
Part of
Gulf-to-Bay Anesthesiology Associates LLC

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1730856311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-985-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15238 VIRGINIA STA",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563500",
            "telephone_number": "262-902-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT DIRECTOR",
        "authorized_official_telephone_number": "865-293-5328"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASC of Trinity OP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.