Individual provider Active NPI

Roderick Morrison Fitz-Randolph Jr., M.D.

  • Anesthesiology Physician
  • Zephyrhills, FL
National Provider Identifier
1851378178
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME47220 Issued in FL
Practice address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone
(813) 780-8266
Fax
(813) 355-5045
NPI assigned
Dec 28, 2005
Last updated
Jul 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME47220 FL Primary

Addresses

Primary practice location

38135 Market SQ
Zephyrhills, FL 33542-7505

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 780-1255

Other identifiers 2

IdentifierTypeStateIssuer
006453700MedicaidFL
P01080514OtherFLR&R MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000158 FL Practitioner - Anesthesiology 4789644303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1988 Gulf to Bay Blvd
Clearwater, FL 33765-3550
Phone (813) 263-7457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME47220FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Anesthesia of Pinellas LLC Anesthesiology CurrentSince Apr 17, 2016 Accepting new patients
Olympia Anesthesia LLC Anesthesiology Current Accepting new patients
Florida Office Anesthesia Supplies and Equipment LLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Advanced Anesthesia Care Inc CurrentSince Jan 15, 2020 Accepting new patients
Florida Medical Clinic, LLC Past Accepting new patients
Florida Medical Clinic LLC PastSince Sep 1, 2009 Accepting new patients
Bay Anesthesia Inc PastSince Jan 6, 2015 Accepting new patients
Associates of Anesthesiology, LLC Past Accepting new patients

Locations

514 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 358-1568

1988 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 314-4243

407 S Aurora Ave
Clearwater, FL 33765
Phone (727) 314-4243

1921 W Mlk Blvd
Tampa, FL 33607
Phone (813) 876-7600

2822 W Virginia Ave
Tampa, FL 33607
Phone (813) 825-0095

3600 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 873-8700

Organizations & group practices 8

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1851378178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-780-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-780-8266",
            "fax_number": "813-355-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZ-RANDOLPH",
        "first_name": "RODERICK",
        "middle_name": "MORRISON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME47220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006453700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R&R MEDICARE",
            "identifier": "P01080514",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.