NPIMap

Organization Active NPI

West Florida Anesthesia Consultants, PA

  • Anesthesiology Physician
  • Bradenton, FL
National Provider Identifier
1992753941
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WEST FLORIDA ANESTHESIA CONSULTANTS, PA
Practice address
2010 59TH St W
Ste 4650
Bradenton, FL 34209-4608
Phone
(941) 798-3524
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Edward A. Defreitas, M.D.
Title
President
Phone
(941) 798-3524

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2010 59TH St W
Ste 4650
Bradenton, FL 34209-4608

Mailing address

PO Box 30289
Tampa, FL 33630-3289

Other identifiers 1

IdentifierTypeStateIssuer
063724600MedicaidFL

National Provider Directory

National Provider Directory

Locations

2902 59th St W
Bradenton, FL 34209
Phone (352) 395-7920

2010 59th St W
Ste 4650
Bradenton, FL 34209
Phone (941) 798-3524

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

2010 59th St W
Bradenton, FL 34209
Phone (813) 453-0590

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1992753941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336303289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "STE 4650",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094608",
            "telephone_number": "941-798-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA ANESTHESIA CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "DEFREITAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-798-3524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063724600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.