NPIMap

Organization Active NPI

Phoenix Anesthesia PLLC

  • Anesthesiology Physician
  • Fort Pierce, FL
National Provider Identifier
1891231718
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PHOENIX ANESTHESIA PLLC
Practice address
1331 N Lawnwood Cir
Fort Pierce, FL 34950
Phone
(772) 489-5900
Fax
(772) 489-2086
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. Anjanaya Prasad R Korlipara, MDNPI 1982776142
Title
President
Phone
(772) 489-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1331 N Lawnwood Cir
Fort Pierce, FL 34950

Mailing address

1331 N Lawnwood Cir
Fort Pierce, FL 34950

National Provider Directory

National Provider Directory

Locations

1331 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (772) 429-5202

Practitioners & affiliated clinicians

Practitioners 6

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": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1891231718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-489-5900",
            "fax_number": "772-489-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "KORLIPARA",
        "authorized_official_first_name": "ANJANAYA PRASAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-489-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.