BEACHSIDE ANESTHESIA INC (NPI# 1164939971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164939971 |
| Entity Type | Organization |
| Organization Name | BEACHSIDE ANESTHESIA INC |
| Practice Address |
95 Bulldog Blvd Melbourne FL 32901-3332 |
| Mailing Address |
Po Box 320281 Cocoa Beach FL 32932-0281 |
| Practice Telephone | 3217299493 |
| Mailing Telephone | 5736865550 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | MARY MARGARET BOGER (PRESIDENT) |
| Authorized Official Telephone | 3217838926 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE DEPT HEALTH | ARNP9164912 | 01 |
| Street Address |
95 BULLDOG BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594584 | Sheridan Surgery Center | Clinic/Center | 95 Bulldog Blvd, Ste104, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1013309459 | Melbourne Surgery Center, LLC | Clinic/Center | 95 Bulldog Blvd, Suite 104, Melbourne, FL 32901-3332 | 2015-02-23 |
| 1013353200 | Melbourne Medical Laboratory LLC | Clinical Medical Laboratory | 95 Bulldog Blvd, Suite 103, Melbourne, FL 32901-3332 | 2013-05-15 |
| 1134371933 | Omnihealthcare Inc | General Practice | 95 Bulldog Blvd, Suite 202, Melbourne, FL 32901-3188 | 2008-10-13 |
| 1346355104 | Sharon Vargo | Registered Nurse | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2006-08-20 |
| 1508880865 | Kathleen Evans | Nutritionist | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2006-07-27 |
| 1053384123 | Marianne Benek-edwards | Physical Therapist | 95 Bulldog Blvd, Ste 200, Melbourne, FL 32901-3332 | 2006-02-09 |
| 1134191323 | Omni Healthcare, Inc. | Family Medicine | 95 Bulldog Blvd, Ste 202, Melbourne, FL 32901-3332 | 2006-02-02 |
| 1598736985 | Omni Healthcare, Inc. | Clinical Medical Laboratory | 95 Bulldog Blvd, Ste 202, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1699751529 | Reinaldo Gaspar Tirado-bernardini | Internal Medicine | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194198093 | Roscoe Rossi | Anesthesiology | 1211 E New Haven Ave, #804, Melbourne, FL 32901-7390 | 2015-11-02 |
| 1427474188 | Sajith Panduke Abeyawickrama | Anesthesiology | 7955 Spyglass Hill Rd, Melbourne, FL 32940-8249 | 2014-03-05 |
| 1114210739 | William E Duvall | Anesthesiology | 3489 Fender Rd, Melbourne, KY 41059-9455 | 2011-05-17 |
| 1457434763 | Anesthesia & Pain Pa | Anesthesiology | 2222 S Harbor City Blvd Ste 520, Melbourne, FL 32901-5591 | 2006-10-23 |
| 1720191786 | Ronald J. Stern | Anesthesiology | 1696-b West Hibiscus Boulevard, Melbourne, FL 32901-2638 | 2006-08-16 |
| 1558351692 | Alberto M Cabantog | Anesthesiology | 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500 | 2005-10-27 |
| 1275521957 | Juan Eugenio Santiago | Anesthesiology | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2005-10-07 |
| 1912510124 | Shannia Fullerton | Anesthesiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-08-26 |
| 1164897575 | Anesthesiology Consultants of Melbourne, Pa | Anesthesiology | 2222 S Harbor City Blvd, #610, Melbourne, FL 32901-5594 | 2015-12-10 |
| 1841682713 | Aisthesis of Florida LLC | Anesthesiology | 2222 South Harbor City Blvd, Suite 540, Melbourne, FL 32901 | 2015-03-02 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.