Active NPI
Gregory David Short, CRNA
- Certified Registered Nurse Anesthetist
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP 2952512
- Practice address
- 3309 SW 34TH Cir
Ocala, FL 34474-3392 - Phone
- (352) 237-2400
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 2952512 | FL | Primary |
Addresses
Primary practice location
3309 SW 34TH Cir
Ocala, FL 34474-3392
Mailing address
500 SE 50TH Ave
Ocala, FL 34471-3391
Phone (352) 624-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12117 County Rd
Suite 103
Oxford, FL 34484-2951
Phone (813) 335-2355
17560 US Hwy 441
Mount Dora, FL 32757-6711
Phone (352) 735-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2952512 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Surgery Center of Oxford | Current | Accepting new patients | |
| St. Lukes Surgical at the Villages, Inc | Current | Accepting new patients | |
| Nature Coast Anesthesia Providers, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St . Lukes at the Villages, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mills Ave Anesthesia LLC | Current | Accepting new patients | |
| Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ft. Walton Beach Anesthesia Services LLC | Past | Accepting new patients |
Locations
160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654
17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855
1825 N Mills Ave
Orlando, FL 32803
Phone (407) 206-2375
12117 County Road 103
Oxford, FL 34484
Phone (813) 335-2355
1879 Nightingale Ln
Ste A2
Tavares, FL 32778
Phone (352) 742-0079
1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484
2955 Brownwood Blvd
Ste 303
The Villages, FL 32163
Phone (352) 626-1450
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- gregory.short.p3@direct.stlukeseye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Mount Dora, FL
- NPI 1578557104
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Oxford, FL
- NPI 1962046151
Nurse Anesthetist, Certified Registered
-
- Specialist
- Orlando, FL
- NPI 1861777971
-
- Ophthalmology Physician
- The Villages, FL
- NPI 1801144217
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Oxford, FL
- NPI 1033760723
-
- Ambulatory Surgical Clinic/Center
- The Villages, FL
- NPI 1205184603
-
- Anesthesiology Physician
- Fort Walton Beach, FL
- NPI 1245443829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811031875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SE 50TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344713391",
"telephone_number": "352-624-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 SW 34TH CIR",
"city": "OCALA",
"state": "FL",
"postal_code": "344743392",
"telephone_number": "352-237-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "GREGORY",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 2952512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.