Individual provider Active NPI

Richard A. Nelson, D.O.

  • Anesthesiology Physician
  • Lithia, FL
National Provider Identifier
1912085192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS6364 Issued in FL
Practice address
6111 Kingbird Manor Dr
Lithia, FL 33547-5051
Phone
(813) 857-8094
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS6364 FL Primary

Addresses

Primary practice location

6111 Kingbird Manor Dr
Lithia, FL 33547-5051

Mailing address

6111 Kingbird Manor Dr
Lithia, FL 33547-5051
Phone (813) 857-8094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000262 FL Practitioner - Anesthesiology 6406899012 Reassigns benefits to 15 organizations
Practice locations: Davenport, FL

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
James G Hankerson PAGroup PAC ID 1254424955, 19 clinicians
Physician Partners of America Crna Operations LLCGroup PAC ID 8022239722, 44 clinicians
MSC Anesthesia IncGroup PAC ID 7517912579, 19 clinicians

Practice addresses (Care Compare)

2438 Dr Martin Luther King Jr St N
Surgcenter of NE
St Petersburg, FL 33704-2750
Phone (727) 543-9204

2727 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6383
Phone (813) 877-8094

4703 N Armenia Ave
Tampa, FL 33603-2618
Phone (813) 514-0230

601 Manatee W Ave
Bradenton, FL 34205-8610
Phone (941) 745-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
PSHS Alpha Partners LLC Current Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jun 22, 2020 Accepting new patients
MSC Anesthesia Inc Anesthesiology CurrentSince Jan 26, 2022 Accepting new patients
James G Hankerson PA Anesthesiology CurrentSince Apr 27, 2023 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Sep 3, 2021 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Dec 18, 2023 Accepting new patients
Metro Orlando Anesthesia Associates, LLC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Mar 3, 2019 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Jul 27, 2016 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Florida Medical Clinic LLC CurrentSince Mar 3, 2019 Accepting new patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince Jul 27, 2016 Accepting new patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince Jul 27, 2016 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Kanumuri Medical Group PA Anesthesiology Past Accepting new patients
North Tampa Anesthesia Consultants Anesthesiology Past Accepting new patients
Florida Pain Relief Group PLLC Anesthesiology PastSince Aug 1, 2025 Accepting new patients
Polk County Anesthesia Anesthesiology Past Accepting new patients

Locations

401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326

601 Manatee Ave W
Bradenton, FL 34205
Phone (941) 745-2727

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2323 Curlew Rd
Ste 5
Dunedin, FL 34698
Phone (727) 388-7326

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887

7408 Lake Worth Rd
Ste 900
Lake Worth, FL 33467
Phone (561) 433-5700

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

2438 Martin Luther King St N
Ste C
St Petersburg, FL 33704
Phone (727) 543-9204

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

4703 N Armenia Ave
Tampa, FL 33603
Phone (813) 514-0230

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

5245 E Fletcher Ave
Ste 1
Temple Terrace, FL 33617
Phone (813) 676-8851

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

38135 Market Square Dr
Ste 115
Zephyrhills, FL 33542
Phone (813) 780-8266

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912085192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 KINGBIRD MANOR DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475051",
            "telephone_number": "813-857-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 KINGBIRD MANOR DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475051",
            "telephone_number": "813-857-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

Verify at the official NPI Registry.