SOUTH LAKE ANESTHESIA SERVICES, P.A.
NPI 1346255056
Nurse Anesthetist, Certified Registered in Clermont, FL
- Organization
- Nurse Anesthetist, Certified Registered
About SOUTH LAKE ANESTHESIA SERVICES, P.A.
This page provides the complete NPI Profile along with additional information for South Lake Anesthesia Services, P.a., a provider established in Clermont, Florida operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1346255056 assigned on July 2006. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. South Lake Anesthesia Services, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. David S Ghivizzani M.d. (Owner)
- NPI
- 1346255056 Verify this NPI
- Provider Name
- SOUTH LAKE ANESTHESIA SERVICES, P.A.
- Entity Type
- Organization
- Location Address
- 1900 DON WICKHAM DR CLERMONT, FL 34711
- Location Phone
- (352) 243-9114
- Location Fax
- (352) 243-7822
- Mailing Address
- PO BOX 100024 ATLANTA, GA 30348
- Mailing Phone
- (352) 243-9114
- Mailing Fax
- (352) 243-7822
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-30-2006
- Last Update Date
- 12-09-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | (FL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | FL | TRICARE |
| 45233 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
| DA3883 | OTHER (01) | FL | RAILROAD MEDICARE |
| 45233 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| 259314900 | MEDICAID (05) | FL |
Reviews for SOUTH LAKE ANESTHESIA SERVICES, P.A.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CLERMONT, FL 34711
CLERMONT, FL 34711
CLERMONT, FL 34711
CLERMONT, FL 34711
CLERMONT, FL 34711
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346255056, enumerated as an "organization" on July 30, 2006.
The provider is located at 1900 DON WICKHAM DR CLERMONT, FL 34711 and the phone number is (352) 243-9114.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Tricare, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
