Organization Active NPI

Suncoast Vascular & General Surgery PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Crystal River, FL
National Provider Identifier
1992183545
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
OS8292 Issued in FL
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

Updated by the provider on May 15, 2015

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

Authorized official

Name
William R Gelinas, D.O.NPI 1851397749
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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150729009681 FL Part B Supplier - Clinic/Group Practice 5698089019 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, FL; Crystal River, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.