Organization Active NPI

Gulfstream Anesthesia Associates Inc

  • Anesthesiology Physician
  • Fort Pierce, FL
National Provider Identifier
1851569800
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GULFSTREAM ANESTHESIA ASSOCIATES INC
Practice address
1811 S 25TH St
Fort Pierce, FL 34947-4756
Phone
(772) 467-1960
Fax
(772) 467-1970
NPI assigned
Feb 12, 2008
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Joseph J Katta, M.D.NPI 1508892563
Title
President
Phone
(772) 467-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1811 S 25TH St
Fort Pierce, FL 34947-4756

Mailing address

1811 S 25TH St
Fort Pierce, FL 34947-4756
Phone (772) 467-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090327000135 FL Part B Supplier - Clinic/Group Practice 4082771548 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1851569800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474756",
            "telephone_number": "772-467-1960",
            "fax_number": "772-467-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474756",
            "telephone_number": "772-467-1960",
            "fax_number": "772-467-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSTREAM ANESTHESIA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "KATTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-467-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.