Active NPI
Deland Anesthesiology Group Inc
- Anesthesiology Physician
- Deland, FL
National Provider Identifier
1871531293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- DELAND ANESTHESIOLOGY GROUP INC
- Practice address
- 701 W Plymouth Ave
Deland, FL 32720-3236 - Phone
- (407) 667-0444
- Fax
- (407) 667-4338
- NPI assigned
- Jun 4, 2006
- 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
- Edmundo Delgado, DO
- Title
- Officer of Deland Anesthesiology
- Phone
- (407) 667-0444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
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 |
|---|---|---|---|
| 274046000 | Medicaid | FL | |
| 94844 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414368000000",
"number": "1871531293",
"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": {
"organization_name": "DELAND ANESTHESIOLOGY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2014-10-27",
"status": "A",
"authorized_official_last_name": "DELGADO",
"authorized_official_first_name": "EDMUNDO",
"authorized_official_title_or_position": "OFFICER OF DELAND ANESTHESIOLOGY",
"authorized_official_telephone_number": "407-667-0444",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274046000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "94844",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
- Elendea Rose Degaetano, RMFTI, RMHCI
- Barry Richard Degraff, DDS
- Adam Joseph Deimling, MED, ATC, LAT
- Pamela L Deimund, LMT
- Kimberlee C Del Campo
- Deland Athens Opco LLC (Deland Athens Post Acute)
- Deland Blue Lake Opco LLC (Deland Blue Lake Post Acute)
- Deland Central Physicians Assoc (Medical Treatment Center)
- Deland Dental
- Deland Family Medicine PA (DeLand Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.