Active NPI
Mills Ave Anesthesia LLC
- Specialist
- Orlando, FL
National Provider Identifier
1861777971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MILLS AVE ANESTHESIA LLC
- Practice address
- 1825 N Mills Ave
Orlando, FL 32803-1853 - Phone
- (407) 206-2375
- Fax
- (407) 206-2377
- NPI assigned
- Oct 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margie A Brill
- Title
- Managing Member
- Phone
- (407) 893-8215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1825 N Mills Ave
Orlando, FL 32803-1853
Mailing address
1825 N Mills Ave
Orlando, FL 32803-1853
Phone (407) 206-2375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IT884A | Other | FL | MEDICARE |
| 113494000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161201001998 | FL | Part B Supplier - Clinic/Group Practice | 5395025662 |
Receives reassigned benefits from 26 practitioners Practice locations: Orlando, FL |
National Provider Directory
National Provider DirectoryLocations
1825 N Mills Ave
Orlando, FL 32803
Phone (407) 206-2375
Practitioners & affiliated clinicians
Practitioners 28
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Kissimmee, FL
- NPI 1700348000
FL
-
- Certified Registered Nurse Anesthetist
- Maitland, FL
- NPI 1487281184
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1861777971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031853",
"telephone_number": "407-206-2375",
"fax_number": "407-206-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031853",
"telephone_number": "407-206-2375",
"fax_number": "407-206-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLS AVE ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-20",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "BRILL",
"authorized_official_first_name": "MARGIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "407-893-8215"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IT884A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113494000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.