Organization Active NPI

McCarty C.R.N.a., Inc.

  • Anesthesiology Physician
  • Gainesville, FL
National Provider Identifier
1942307491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MCCARTY C.R.N.A., INC.
Practice address
2521 NW 41St Street
Gainesville, FL 32606-6630
Phone
(352) 377-7733
Fax
(352) 377-9577
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Phyllis R. McCarty, CRNANPI 1023115573
Title
President
Phone
(352) 377-7733

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2521 NW 41St Street
Gainesville, FL 32606-6630

Mailing address

4131 N.W. 13TH Street
Suite 101
Gainesville, FL 32609-1858
Phone (352) 376-1887

Other identifiers 1

IdentifierTypeStateIssuer
G1100OtherFLBCBS

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.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942307491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N.W. 13TH STREET",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326091858",
            "telephone_number": "352-376-1887",
            "fax_number": "352-375-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST STREET",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733",
            "fax_number": "352-377-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTY C.R.N.A., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-377-7733",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G1100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.