Active NPI
Anesthesiology of Jupiter PA
- Pain Medicine (Anesthesiology) Physician
- Jupiter, FL
National Provider Identifier
1740247188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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 DirectoryLocations
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.