MEDICARE: NEWPORT ANESTHESIA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician		FL

General Provider Information

NPI Number	:	1336561414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWPORT ANESTHESIA LLC

Provider Business Mailing Address
First Line	:	PO BOX 660257
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35266-0257
Country	:	US
Telephone Number	:	205-979-5882
Fax Number	:	205-979-1248

Provider Business Practice Location Address
First Line	:	3010 STARKEY BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2175
Country	:	US
Telephone Number	:	727-372-0600
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	RAMSES S NASHED
Credential	:	MD
Telephone Number	:	727-372-0600

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	08/08/2019

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