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COASTAL ANESTHESIA, P A
NPI 1932205606
Anesthesiology - Pain Medicine in Niceville, FL

Active since September 16, 2006CLIA 10D2074917 · Waiver
1001 COLLEGE BLVD W STE H, NICEVILLE, FL 32578(850) 279-4417(850) 279-4212 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 27, 2017 (2 updates tracked since 2017).

About Coastal Anesthesia, P A NPPES

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

COASTAL ANESTHESIA, P A (NPI 1932205606) is a healthcare organization registered as a pain medicine in Niceville, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Michael Ederer, Do/president, as its authorized official.

NPPES Registry Identity

NPI1932205606
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameCOASTAL ANESTHESIA, P A
Location Address1001 COLLEGE BLVD W STE HNiceville, FL 32578-1049
Mailing AddressPo Box 10583Birmingham, AL 35202-0583 · (352) 867-8898 · Fax (352) 732-6282
Phone(850) 279-4417
Fax(850) 279-4212
Organization SubpartNo
Authorized OfficialMichael EdererDo/president · (352) 867-8898
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1932205606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1001 COLLEGE BLVD W STE H, Niceville, FL 32578
Open in Google Maps ↗

Other Identifiers 2

Other98947FL · Bcbs Fl
OtherDE0932FL · Railroad Medicare

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 10D2074917

Coastal Anesthesia PA Pain Mgmt Clinic · Niceville, FL
Active · expires Mar 17, 2028
CLIA Number10D2074917
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorMichael P. Ederer
Laboratory Phone(850) 279-4417
Laboratory LocationCoastal Anesthesia PA Pain Mgmt Clinic1001 W College Blvd Ste H Bldg 2, Niceville, FL 32578
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

EMILY TOWERY CRNP
Nurse Practitioner (Gerontology)
1001 COLLEGE BLVD W STE H
NICEVILLE, FL 32578
Okaloosa County (850) 279-4417
MR. MICHAEL P EDERER DO
Anesthesiology (Pain Medicine)
1001 COLLEGE BLVD W STE H
NICEVILLE, FL 32578
Okaloosa County (850) 279-4417

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 Coastal Anesthesia, P A's NPI number?

The NPI number for Coastal Anesthesia, P A is 1932205606. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Coastal Anesthesia, P A located?

Coastal Anesthesia, P A is located at 1001 College Blvd W Ste H, Niceville, FL 32578. The listed phone number is (850) 279-4417.

What is Coastal Anesthesia, P A's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Coastal Anesthesia, P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2074917) is associated with this NPI, valid through March 17, 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 Coastal Anesthesia, P A was last updated on July 21, 2022. 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.