Individual provider Active NPI

Michele Gotro

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1982657359
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9169597 Issued in FL
Practice address
111 S Delaware Ave Apt 4
Tampa, FL 33606-1904
Phone
(813) 486-7571
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9169597 FL Primary

Addresses

Primary practice location

111 S Delaware Ave Apt 4
Tampa, FL 33606-1904

Mailing address

111 S Delaware Ave Apt 4
Tampa, FL 33606-1904
Phone (813) 486-7571

Other identifiers 1

IdentifierTypeStateIssuer
306891900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524001020 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042252652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10740 Palm River Rd
Suite 200
Tampa, FL 33619-4574
Phone (813) 660-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9169597FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Nov 21, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Nov 21, 2022 Accepting new patients
Jon a Harmon MD PA Nurse Anesthetist, Certified Registered PastSince Sep 15, 2019 Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Spinecare Associates, LLC Past Accepting new patients
Advanced Anesthesia Associates LLC Past Accepting new patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Past Accepting new patients
Associates of Anesthesiology, LLC Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

711 S Parsons Ave
Brandon, FL 33511
Phone (813) 654-7111

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

6500 66th St N
Pinellas Park, FL 33781
Phone (727) 347-1286

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

10740 Palm River Rd
Ste 200
Tampa, FL 33619
Phone (813) 660-6000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1982657359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S DELAWARE AVE APT 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061904",
            "telephone_number": "813-486-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S DELAWARE AVE APT 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061904",
            "telephone_number": "813-486-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTRO",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9169597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306891900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.