Edson Pereira Alonso Jr.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Naples, FL
NPI 1982144721 · NPPES record last updated Feb 27, 2017
Key facts
- NPI
- 1982144721
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN 9388679 (FL)
- Practice address
- 7009 Romana Way Apt 1603
Naples, FL 34119-9637 - Phone
- (801) 762-7291
- NPI assigned
- Feb 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Anesthesia Associates, LLC
Decatur County Memorial Hospital
Practice addresses (Care Compare)
321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624
720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331
Hospital & facility affiliations
- Margaret Mary Community Hospital Inc
- Decatur County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180115000823 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052670213 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9388679 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Memorial Hospital | Current |
Accepting new patients | |
| Premier Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Decatur County Memorial Hospital | Current |
Accepting new patients | |
| Johnson Memorial Hospital | Current |
Accepting new patients | |
| Rush Memorial Hospital | Past | Accepting new patients |
Locations
24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100
321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018
1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
1900 Chester Blvd
Richmond, IN 47374
Phone (765) 962-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN 9388679 | FL | Yes |
Addresses
Primary practice location
7009 Romana Way Apt 1603
Naples, FL 34119-9637
Mailing address
7009 Romana Way Apt 1603
Naples, FL 34119-9637
Phone (801) 762-7291
NPI Registry JSON
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1982144721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7009 ROMANA WAY APT 1603",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199637",
"telephone_number": "801-762-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7009 ROMANA WAY APT 1603",
"city": "NAPLES",
"state": "FL",
"postal_code": "341199637",
"telephone_number": "801-762-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "EDSON",
"middle_name": "PEREIRA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN 9388679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Loyde Almirola
- Almost Family PC of SW Florida, LLC
- Aln Anesthesia
- Aln Anesthesia, P.a.
- Margaret Helene Joy Alongi
- Ricardo A. Alonso
- Jeffrey A Alper
- Myles L. Alpert
- Liset Alpizar
- Rannie Alsamkari
All providers in Naples, 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 Feb 27, 2017. 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.