Organization Active NPI

Apnea Anesthesia

  • Anesthesiology Physician
  • Palm Bay, FL
National Provider Identifier
1972913010
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME98839 Issued in FL
Legal business name
APNEA ANESTHESIA
Practice address
1496 Wacker Ave SE
Palm Bay, FL 32909-5261
Phone
(203) 843-0630
Fax
(321) 773-7239
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dwain A Hamilton, MD
Title
Owner
Phone
(203) 843-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X ME98839 FL Primary

Addresses

Primary practice location

1496 Wacker Ave SE
Palm Bay, FL 32909-5261

Mailing address

1496 Wacker Ave SE
Palm Bay, FL 32909-5261
Phone (203) 843-0630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1972913010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 WACKER AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095261",
            "telephone_number": "203-843-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 WACKER AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095261",
            "telephone_number": "203-843-0630",
            "fax_number": "321-773-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APNEA ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DWAIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-843-0630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME98839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.