NPIMap

Organization Active NPI

Bay Area Anesthesia Specialists, LLC

  • Anesthesiology Physician
  • Riverview, FL
National Provider Identifier
1902125958
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BAY AREA ANESTHESIA SPECIALISTS, LLC
Practice address
6043 Winthrop Commerce Ave
Riverview, FL 33578-4272
Phone
(877) 479-0450
Fax
(866) 665-2702
NPI assigned
May 28, 2010
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Dedra Hern, CRNA
Title
Owner
Phone
(877) 479-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

6043 Winthrop Commerce Ave
Riverview, FL 33578-4272

Mailing address

PO Box 850001 Dept 0849
Orlando, FL 32885-0849
Phone (877) 479-0450

National Provider Directory

National Provider Directory

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": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1902125958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT 0849",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850849",
            "telephone_number": "877-479-0450",
            "fax_number": "866-665-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784272",
            "telephone_number": "877-479-0450",
            "fax_number": "866-665-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA ANESTHESIA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "HERN",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-479-0450",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.