Active NPI
Gastro MD Anesthesia, LLC
- Anesthesiology Physician
- Tampa, FL
National Provider Identifier
1952989758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- GASTRO MD ANESTHESIA, LLC
- Practice address
- 5016 W Cypress St Ste 100
Tampa, FL 33607-3804 - Phone
- (813) 542-2586
- Fax
- (813) 281-1735
- NPI assigned
- Apr 1, 2021
- Organization subpart
- Yes
- Parent organization
- GASTRO MD, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles M. Davis
- Title
- Chief Operating Offier
- Phone
- (813) 477-5580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
5016 W Cypress St Ste 100
Tampa, FL 33607-3804
Mailing address
511 W Bay St Ste 400
Tampa, FL 33606-2700
Phone (813) 819-0309
National Provider Directory
National Provider DirectoryLocations
2863 Wellness Ave
Orange City, FL 32763
Phone (286) 297-7239
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Gastroenterolgy of Greater Orlando
- Gastroenterology Physician
- Lake Mary, FL
- NPI 1144110982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617235200000",
"number": "1952989758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 W BAY ST STE 400",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062700",
"telephone_number": "813-819-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 W CYPRESS ST STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336073804",
"telephone_number": "813-542-2586",
"fax_number": "813-281-1735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO MD ANESTHESIA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GASTRO MD, LLC",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-03-31",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CHIEF OPERATING OFFIER",
"authorized_official_telephone_number": "813-477-5580"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.