Gregory P Antonoplos, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tallahassee, FL
NPI 1972793719 · NPPES record last updated Jul 27, 2007
Key facts
- NPI
- 1972793719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- ARNP3024902 (FL)
- Practice address
- 2173 Centerville PL Ste a
Tallahassee, FL 32308-8303 - Phone
- (850) 205-7246
- Fax
- (954) 851-1758
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesiology Associates of Tallahassee Inc
Practice addresses (Care Compare)
2629 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (954) 939-5000
Hospital & facility affiliations
- HCA Florida Capital Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071127000138 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4981790870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3024902 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3024902 | FL | Yes |
Addresses
Primary practice location
2173 Centerville PL Ste a
Tallahassee, FL 32308-8303
Mailing address
PO Box 452198
Sunrise, FL 33345-2198
Phone (800) 437-2672
Other providers in Tallahassee, FL
- Angels on Earth Senior Service
- Farhana Anisha
- Anne Tierney, LCSW, LLC
- Claire D Anthony-Davis
- Mona Lynn Golden Antley
- Apalachee Center Inc
- Apalachee Center Inc
- Apalachee Center Inc
- Apalachee Center Inc
- Apalachee Center Inc
All providers in Tallahassee, FL · Certified Registered Nurse Anesthetist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.