Organization Active NPI

Citrus Anesthesia Providers LLC

  • Certified Registered Nurse Anesthetist
  • Lecanto, FL
National Provider Identifier
1972775906
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CITRUS ANESTHESIA PROVIDERS LLC
Practice address
3075 W Gulf to Lake Hwy
Lecanto, FL 34461-9228
Phone
(352) 326-4014
Fax
(352) 326-4126
NPI assigned
Mar 31, 2008
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Dean T Pauley, CRNANPI 1669435780
Title
Owner
Phone
(352) 634-2012

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
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

3075 W Gulf to Lake Hwy
Lecanto, FL 34461-9228

Mailing address

PO Box 1300
Lecanto, FL 34460-1300
Phone (352) 634-2012

Other identifiers 1

IdentifierTypeStateIssuer
G9063OtherFLBLUE SHIELD PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1972775906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344601300",
            "telephone_number": "352-634-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 W GULF TO LAKE HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619228",
            "telephone_number": "352-326-4014",
            "fax_number": "352-326-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS ANESTHESIA PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "PAULEY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-634-2012",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD  PROVIDER NUMBER",
            "identifier": "G9063",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.