NPIMap

Organization Active NPI

Anesthesia Associates of Southwest Florida LLC

  • Certified Registered Nurse Anesthetist
  • Venice, FL
National Provider Identifier
1881652899
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 3287992 Issued in FL
Legal business name
ANESTHESIA ASSOCIATES OF SOUTHWEST FLORIDA LLC
Practice address
1220 E Venice Ave
Venice, FL 34285-7151
Phone
(941) 484-5000
Fax
(941) 484-4414
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Ms. Terri Lopez, CASC
Title
Administrator
Phone
(941) 484-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X ARNP 3287992 FL Primary

Addresses

Primary practice location

1220 E Venice Ave
Venice, FL 34285-7151

Mailing address

1220 E Venice Ave
Venice, FL 34285-7151
Phone (941) 484-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000738 FL Part B Supplier - Clinic/Group Practice 6901703982 Receives reassigned benefits from 32 practitioners
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1881652899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857151",
            "telephone_number": "941-484-5000",
            "fax_number": "941-484-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857151",
            "telephone_number": "941-484-5000",
            "fax_number": "941-484-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-484-5000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CASC"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 3287992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.