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ST PETERSBURG ENDOSCOPY CENTER
NPI 1679143762
Anesthesiology in St Petersburg, FL

Active since June 30, 2021CLIA 10D1049349 · Waiver
560 JACKSON ST N STE 200, ST PETERSBURG, FL 33705(240) 469-2181 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 29, 2021, Jun 30, 2021 (2 updates tracked since 2021).

About St Petersburg Endoscopy Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST PETERSBURG ENDOSCOPY CENTER (NPI 1679143762) is a healthcare organization registered as an anesthesiology in St Petersburg, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Laura G Adkins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679143762
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameANESTHESIA DYNAMICS LLC
Location Address560 JACKSON ST N STE 200St Petersburg, FL 33705-1449
Mailing AddressLb #8247 Po Box 95000Philadelphia, PA 19195-0001
Phone(240) 469-2181
Organization SubpartYes
Authorized OfficialLaura G AdkinsOffice Manager · (240) 469-2181
Enumeration DateJune 30, 2021
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1679143762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
560 JACKSON ST N STE 200, St Petersburg, FL 33705
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Other Names 1

Other NameSt Petersburg Endoscopy Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1049349

St Petersburg Endoscopy Center LLC · Saint Petersburg, FL
Active · expires Jan 3, 2028
CLIA Number10D1049349
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorDr. Chetan K. Desai
Laboratory Phone(727) 820-7513
Laboratory LocationSt Petersburg Endoscopy Center LLC560 Jackson St, Saint Petersburg, FL 33705
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PINELLAS COUNTY ANESTHESIA ASSOCIATES, LLC
Anesthesiology
560 JACKSON ST N STE 200
ST PETERSBURG, FL 33705
Pinellas County (727) 820-7500
COASTAL ANESTHESIA GROUP LLC
Anesthesiology
560 JACKSON ST N STE 200
ST PETERSBURG, FL 33705
Pinellas County (727) 443-0100
JASMINA KIKIC CRNA
Nurse Anesthetist, Certified Registered
560 JACKSON ST N STE 200
ST PETERSBURG, FL 33705
Pinellas County (727) 820-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anesthesia Dynamics LLC's NPI number?

The NPI number for Anesthesia Dynamics LLC is 1679143762. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is also known as St Petersburg Endoscopy Center.

Where is Anesthesia Dynamics LLC located?

Anesthesia Dynamics LLC is located at 560 Jackson St N Ste 200, St Petersburg, FL 33705. The listed phone number is (240) 469-2181.

What is Anesthesia Dynamics LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Does Anesthesia Dynamics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1049349) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anesthesia Dynamics LLC was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.