Organization Active NPI

Anesthesiology of Jupiter PA

  • Pain Medicine (Anesthesiology) Physician
  • Jupiter, FL
National Provider Identifier
1740247188
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANESTHESIOLOGY OF JUPITER PA
Practice address
1210 S Old Dixie Hwy
2ND Floor
Jupiter, FL 33458-7205
Phone
(561) 743-5073
NPI assigned
Apr 28, 2006
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Karen Vaughn
Title
Officer
Phone
(404) 450-4684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1210 S Old Dixie Hwy
2ND Floor
Jupiter, FL 33458-7205

Mailing address

PO Box 744069 Dept 50012
Atlanta, GA 30384-0001

National Provider Directory

National Provider Directory

Locations

1210 S Old Dixie Hwy
Fl 2
Jupiter, FL 33458
Phone (561) 741-5570

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1740247188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744069 DEPT 50012",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "address_2": "2ND FLOOR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-743-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGY OF JUPITER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-450-4684"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.