Individual provider Active NPI

Gregory David Short, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
National Provider Identifier
1811031875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 2952512 Issued in FL
Practice address
3309 SW 34TH Cir
Ocala, FL 34474-3392
Phone
(352) 237-2400
NPI assigned
Feb 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20110310000908 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961684089 Reassigns benefits to 4 organizations

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
Solace Anesthesia LLCGroup PAC ID 3072945476, 9 clinicians
Nature Coast Anesthesia Providers PAGroup PAC ID 2163471723, 26 clinicians

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

LicenseStateTypeSpecialty
ARNP 2952512FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgery Center of Oxford CurrentSince Jan 1, 2020 Accepting new patients
St. Lukes Surgical at the Villages, Inc CurrentSince Dec 29, 2024 Accepting new patients
Nature Coast Anesthesia Providers, P.a. Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2024 Accepting new patients
St . Lukes at the Villages, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2024 Accepting new patients
Mills Ave Anesthesia LLC CurrentSince Dec 14, 2024 Accepting new patients
Solace Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 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

  • Direct secure messaging: gregory.short.p3@direct.stlukeseye.nextgenshare.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.