Active NPI
Sean Shand, AAC
- Anesthesiologist Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA69
- Practice address
- 3100 E Fletcher Ave
Anesthesia Department
Tampa, FL 33613-4613 - Phone
- (813) 615-7848
- NPI assigned
- Nov 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA69 | FL | Primary |
Addresses
Primary practice location
3100 E Fletcher Ave
Anesthesia Department
Tampa, FL 33613-4613
Mailing address
3100 E Fletcher Ave
Anesthesia Department
Tampa, FL 33613-4613
Phone (813) 615-7848
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1165 | Other | AAC CERTIFICATE | |
| AA69 | Other | FL | LICENSE |
| G00L9 | Other | FL | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA69 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Physician Associates, PLLC | Anesthesiologist Assistant | Current | Accepting new patients |
| The Stingl Family Foundation, Inc | Current | Accepting new patients | |
| Unicom Anesthesia Associates, PA | Past | Accepting new patients |
Locations
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
520 E Strawbridge Ave
Melbourne, FL 32901
1304 Oak St
Melbourne, FL 32901
Phone (321) 345-4002
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1649232299
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1801198908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-615-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-615-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAND",
"first_name": "SEAN",
"credential": "AAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-22",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA69",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAC CERTIFICATE",
"identifier": "1165",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AA69",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "G00L9",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.