Active NPI
Robert Fechtenburg, CRNA
- Certified Registered Nurse Anesthetist
- Deland, FL
National Provider Identifier
1871519652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP2766212
- Practice address
- 701 W Plymouth Ave
Deland, FL 32720-3236 - Phone
- (407) 667-0444
- Fax
- (407) 667-4338
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | ARNP2766212 | FL | Primary |
Addresses
Primary practice location
701 W Plymouth Ave
Deland, FL 32720-3236
Mailing address
291 Southhall LN
Suite 201
Maitland, FL 32751-7274
Phone (407) 667-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034951800 | Medicaid | FL | |
| G1712 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2766212 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Anesthesia Associates LLC | Past | Accepting new patients | |
| Collier Anesthesia PA | Past | Accepting new patients | |
| Sarasota Anesthesiologists, PA | Past | Accepting new patients | |
| Brevard Eye Center | Past | Accepting new patients | |
| Lake County Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Tri-County Anesthesia Volusia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
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- Anesthesiology Physician
- Zephyrhills, FL
- NPI 1205887247
-
- Eyewear Supplier
- Melbourne, FL
- NPI 1548484066
-
- Anesthesiology Physician
- Naples, FL
- NPI 1649251745
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Leesburg, FL
- NPI 1033163464
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ft Myers, FL
- NPI 1619966694
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1710917976
-
- Certified Registered Nurse Anesthetist
- Sanford, FL
- NPI 1760420111
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1871519652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 SOUTHHALL LN",
"address_2": "SUITE 201",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517274",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203236",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FECHTENBURG",
"first_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP2766212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034951800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G1712",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.