NPIMap

Organization Active NPI

West Florida Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1962926568
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WEST FLORIDA ANESTHESIA ASSOCIATES LLC
Practice address
63 Barkley Cir Ste 104
Fort Myers, FL 33907-4514
Phone
(239) 275-8452
Fax
(239) 274-3182
NPI assigned
Jul 26, 2017
Last updated
Oct 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
James Kreger
Title
Manager
Phone
(205) 999-4132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary
Anesthesiology Physician 207L00000X NU

Addresses

Primary practice location

63 Barkley Cir Ste 104
Fort Myers, FL 33907-4514

Mailing address

PO Box 947594
Atlanta, GA 30394-7594
Phone (888) 337-3509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920001600 FL Part B Supplier - Clinic/Group Practice 7517231186 Receives reassigned benefits from 103 practitioners
Practice locations: Lake Mary, FL; Venice, FL; Tampa, FL; Sarasota, FL; Orange City, FL; Largo, FL; Bradenton, FL; Lake City, FL…

National Provider Directory

National Provider Directory

Member of 1

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

  • Aga, LLC

    dba Atlanta Gastroenterology Associates

    • Gastroenterology Physician
    • Atlanta, GA
    • NPI 1124064118

    Member Of

    NPD member

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

1084 Goodlette Rd
Naples, FL 34102
Phone (239) 435-9330

Practitioners & affiliated clinicians

Practitioners 105

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.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1962926568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947594",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947594",
            "telephone_number": "888-337-3509",
            "fax_number": "941-209-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BARKLEY CIR STE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074514",
            "telephone_number": "239-275-8452",
            "fax_number": "239-274-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "KREGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-999-4132"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.