Organization Active NPI

Fawcett Memorial Hospital

  • General Acute Care Hospital
  • Venice, FL
National Provider Identifier
1770817702
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2835962 Issued in FL
Legal business name
FAWCETT MEMORIAL HOSPITAL
Practice address
537 Park Estates SQ
Venice, FL 34293-4181
Phone
(941) 497-1949
Fax
(941) 497-1949
NPI assigned
Sep 23, 2009
Organization subpart
Yes
Parent organization
GLUF COAST ANESTHESIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Dr. Swaroop Muppavarapu, M.D.
Title
Administator
Phone
(941) 206-7251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2835962 FL Primary

Addresses

Primary practice location

537 Park Estates SQ
Venice, FL 34293-4181

Mailing address

5424 Grand Blvd
New Port Richey, FL 34652
Phone (727) 845-1736

Other identifiers 1

IdentifierTypeStateIssuer
45418OtherFLBCBSF

Other names 1

  • Gulf Coast Anesthesia Other name

National Provider Directory

National Provider Directory
Part of
Fawcett Memorial Hospital

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1770817702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-845-1736",
            "fax_number": "941-206-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 PARK ESTATES SQ",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934181",
            "telephone_number": "941-497-1949",
            "fax_number": "941-497-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWCETT MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLUF COAST ANESTHESIA",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "MUPPAVARAPU",
        "authorized_official_first_name": "SWAROOP",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "941-206-7251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "2835962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "45418",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Anesthesia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.