NPI Code Detail JSON Logo

1285875740 NPI number — BRADENTON ANESTHESIA SERVICES LLC

NPI Number: 1285875740
Health Care Provider/Practitioner: BRADENTON ANESTHESIA SERVICES LLC

Information about “1285875740” NPI (BRADENTON ANESTHESIA SERVICES LLC) exists in 1285875740 in HTML format HTML  |  1285875740 in plain Text format TXT  |  1285875740 in PDF (Portable Document Format) PDF  |  1285875740 in an XML format XML  formats.

NPI Number : 1285875740 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285875740",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRADENTON ANESTHESIA SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5501 W GRAY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33609-1007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-569-6500",
    "MailingAddressFaxNumber": "813-569-6262",
    "FirstLinePracticeLocationAddress": "6002 POINTE WEST BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRADENTON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34209-5531",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-569-6500",
    "PracticeLocationAddressFaxNumber": "813-569-6262",
    "EnumerationDate": "03/13/2009",
    "LastUpdateDate": "06/23/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CASTELLANA",
    "AuthorizedOfficialFirstName": "NANCY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PAYOR RELATIONS DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPCS",
    "AuthorizedOfficialTelephoneNumber": "813-569-6500",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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