Active NPI
Suncoast Vascular & General Surgery PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Crystal River, FL
National Provider Identifier
1992183545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- OS8292
- Legal business name
- SUNCOAST VASCULAR & GENERAL SURGERY PA
- Practice address
- 11535 W Emerald Oaks Dr
Crystal River, FL 34428-2815 - Phone
- (352) 794-6191
- Fax
- (352) 794-6193
- NPI assigned
- May 15, 2015
- 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
- William R Gelinas, D.O.
- Title
- Owner
- Phone
- (352) 794-6191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | OS8292 | FL | Primary |
Addresses
Primary practice location
11535 W Emerald Oaks Dr
Crystal River, FL 34428-2815
Mailing address
PO Box 1085
Crystal River, FL 34423-1085
Phone (352) 794-6191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/11626/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Crystal River, FL
- NPI 1851397749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431648000000",
"number": "1992183545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1085",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344231085",
"telephone_number": "352-794-6191",
"fax_number": "352-794-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11535 W EMERALD OAKS DR",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344282815",
"telephone_number": "352-794-6191",
"fax_number": "352-794-6193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST VASCULAR & GENERAL SURGERY PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-15",
"last_updated": "2015-05-15",
"status": "A",
"authorized_official_last_name": "GELINAS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-794-6191",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "OS8292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.