West Florida Trauma Network, LLC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

WEST FLORIDA TRAUMA NETWORK, LLC

Practice address

2010 59TH St W
Suite 2200
Bradenton, FL 34209-4616

Phone

(813) 453-0590

NPI assigned

May 10, 2011

Last updated

Oct 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Tedrick Johnson

Title

Group Vice President/Ao

Phone

(615) 372-3375

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

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

• HCA Health Services of Florida, Inc.

  dba HCA Florida Bayonet Point Hospital

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419

  Member Of

  NPD member

Locations

Practitioners 120

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.

• Gregory Harris Bach, M.D.

  • Surgery Physician
  • Bradenton, FL
  • NPI 1417481367

  Trauma Surgery

  Medicare reassignment Care Compare group NPD
• Ralph John Barker, MD PHD

  • Surgical Critical Care Physician
  • Bradenton, FL
  • NPI 1659457067
  Medicare reassignment Care Compare group NPD
• Guedry Edouard, NP-C

  • Critical Care Medicine Nurse Practitioner
  • Sun City Center, FL
  • NPI 1174387724
  Medicare reassignment Care Compare group NPD
• Aimee Suzanne Hall, ARNP

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1750605440
  Medicare reassignment Care Compare group NPD
• Ashley Harty, ARNP

  • Nurse Practitioner
  • Debary, FL
  • NPI 1043825060
  Medicare reassignment Care Compare group NPD
• Bryan Hennes, ARNP

  • Adult Health Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1861654758
  Medicare reassignment Care Compare group NPD
• Alyssa Imperatore Ziehm, DO

  • Surgical Critical Care Physician
  • Bradenton, FL
  • NPI 1134657760
  Medicare reassignment Care Compare group NPD
• Erwin Rusli, MD

  • Trauma Surgery Physician
  • Bradenton, FL
  • NPI 1396171641
  Medicare reassignment Care Compare group NPD
• Mazvita Ethel Simoyi, MD

  • Surgery Physician
  • Lake Wales, FL
  • NPI 1578980751
  Medicare reassignment Care Compare group NPD
• Rona E Altaras, MD

  • Surgery Physician
  • Vero Beach, FL
  • NPI 1457485245
  Medicare reassignment Care Compare group
• Mindy Oberley, PA-C

  • Surgical Physician Assistant
  • Bradenton, FL
  • NPI 1013578467
  Medicare reassignment Care Compare group
• Allegra Richardson

  • Surgical Physician Assistant
  • Bradenton, FL
  • NPI 1245609288
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1902198948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "SUITE 2200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094616",
            "telephone_number": "813-453-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA TRAUMA NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT/AO",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Florida Anesthesia Trauma Services LLC
• West Florida Cardiology Network, LLC
• West Florida Carenow Urgent Care, LLC
• West Florida Physician Network, LLC (HealthCare America Medical Group)
• West Florida Surgery Center Inc
• West Florida Urgent Care Network, LLC (Urgent Care Center at Pinnacle)
• Addison Whitney West McCabe, DPT
• West Meade
• Daniel B Westawski, MD
• Western Behavioral Center, LLC

• Trauma Surgery Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Trauma Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.