Gulf-to-Bay Anesthesiology Associates LLC
Organization Active NPI Anesthesiology Physician · Largo, FL
NPI 1760740781 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1760740781
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC
- Practice address
- 2025 Indian Rocks Rd S
Largo, FL 33774-1035 - Phone
- (813) 844-4396
- Fax
- (813) 844-4972
- NPI assigned
- Apr 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Devanand Mangar, MD
- Title
- President
- Phone
- (813) 844-4434
Other NPIs on the same Medicare enrollment 16
Practitioners 55
-
Alan W Ambrose, CRNA
-
Erik J Benton, MD
-
Roberto Betancourt, CRNA
-
Barbara Ann Bistram, CRNA
-
Todd A Borgwald, CRNA
-
Katrina Canady, A.R.N.P., C.R.N.A
-
Michelle Deterding, CRNA
-
Rowema K Ferguson, CRNA
-
Brian C. Fordham, MD
-
Andrea L. Gritton, CRNA
-
Ladden D Herrmann, CRNA
-
Candice Christine Hithe, D.O.
-
Daryl L Holland, CRNA
-
Rosemary Johnson, CRNA
-
Kaitlin Kamm, AA
-
David B Koontz, CRNA
-
Melissa Dyann Miller, AA-C
-
Natasha Pugh Moore, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000250 | FL | Part B Supplier - Clinic/Group Practice | 5092628156 |
Receives reassigned benefits from 1,280 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tampa, FL; Trinity, FL; Temple Terrace, FL; Riverview, FL; Palatka, FL; Odessa, FL; Largo, FL; Lakeland, FL… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
2025 Indian Rocks Rd S
Largo, FL 33774-1035
Mailing address
265 Brookview Centre Way
Suite 203
Knoxville, TN 37919-4052
Phone (813) 844-4434
Other names
- GTBA Indian Rocks
Other providers in Largo, FL
- Gulf Coast Audiology Inc
- Gulf Coast Jewish Family Services
- Gulf Coast Mental Health Services LLC
- Gulf Coast Professional Anesthesia Associates LLC
- Gulf-to-Bay Anesthesiology Associates LLC
- Kariba Gunning Harry
- Shriya Gupta
- Albina Guri
- Tatyana Gurina
- Lynda Gurvitz
All providers in Largo, FL · Anesthesiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.