Organization Active NPI

Alpine Anesthesia Associates LLC

  • Anesthesiology Physician
  • Deltona, FL
National Provider Identifier
1891020566
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ALPINE ANESTHESIA ASSOCIATES LLC
Practice address
777 Deltona Blvd
Ste 21
Deltona, FL 32725-7173
Phone
(386) 575-2225
NPI assigned
Oct 13, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Matthew T. Mountain, DC
Title
Authorized Official
Phone
(386) 575-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

777 Deltona Blvd
Ste 21
Deltona, FL 32725-7173

Mailing address

PO Box 864613
Orlando, FL 32886-4613

National Provider Directory

National Provider Directory

Locations

777 Deltona Blvd
Ste 21
Deltona, FL 32725
Phone (386) 575-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1891020566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864613",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 DELTONA BLVD",
            "address_2": "STE 21",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257173",
            "telephone_number": "386-575-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "386-575-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.