Active NPI
Apnea Anesthesia
- Anesthesiology Physician
- Palm Bay, FL
National Provider Identifier
1972913010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME98839
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryNPI 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.