Alice Dastrup (NPI# 1053859595, PAC ID# 6709163629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1053859595 |
| PAC ID by PECOS | 6709163629 |
| Professional Enrollment ID | I20170502002643 |
| Full Name | Alice Dastrup |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF GREATER MIAMI, PA |
| Address |
9555 Sw 162 Ave West Kendall Baptist Hospital Miami FL 33196-6408 |
| Phone Number | 7864672000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 5294633954 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100154 | SOUTH MIAMI HOSPITAL |
| 100289 | CLEVELAND CLINIC HOSPITAL |
| 100314 | WEST KENDALL BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9555 Sw 162 Ave, West Kendall Baptist Hospital, Miami, FL 33196-6408 | 7864672000 | ANESTHESIA ASSOCIATES OF GREATER MIAMI, PA |
| 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 9546595000 | CLEVELAND CLINIC FLORIDA |
| Organization Legal Name | ANESTHESIA ASSOCIATES OF GREATER MIAMI, PA |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Loukas | Anesthesiology | Anesthesia Associates of Greater Miami, Pa | 91500 Overseas Hwy, Tavernier, FL 33070-2547 |
| Christine R Marambio | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 6110 Sw 70th St, South Florida Surgery Center, Miami, FL 33143-3419 |
| Guillermo L Pol | Anesthesiology | Anesthesia Associates of Greater Miami, Pa | 91500 Overseas Hwy, Tavernier, FL 33070-2547 |
| Vincent G Conte | Anesthesiology | Anesthesia Associates of Greater Miami, Pa | 6200 Sw 73rd St, South Miami Hospital, South Miami, FL 33143-4679 |
| Evelyn Ortiz | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 6110 Sw 70th St, South Florida Surgery Center, Miami, FL 33143-3419 |
| Maurice Gabay | Anesthesiology | Anesthesia Associates of Greater Miami, Pa | 91500 Overseas Hwy, Tavernier, FL 33070-2547 |
| Samantha L Ellis | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 6110 Sw 70th St, South Florida Surgery Center, Miami, FL 33143-3419 |
| Bernadette Antle | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 9555 Sw 162 Ave, West Kendall Baptist Hospital, Miami, FL 33196-6408 |
| Rebeca I Nunez | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 6200 Sw 73rd St, South Miami Hospital, South Miami, FL 33143-4679 |
| Ruben J Ricardo | Anesthesiology | Anesthesia Associates of Greater Miami, Pa | 91500 Overseas Hwy, Tavernier, FL 33070-2547 |
| Street Address |
9555 SW 162 AVE WEST KENDALL BAPTIST HOSPITAL |
| City | MIAMI |
| State | FL |
| Zip | 33196-6408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alejandro Mosquera | Internal Medicine | Baptist Health Medical Group Physicians LLC | 9555 Sw 162 Ave, Miami, FL 33196-6408 |
| Jhoan Andres Ledesma | Internal Medicine | Baptist Health Medical Group Physicians LLC | 9555 Sw 162 Ave, Miami, FL 33196-6408 |
| Bernadette Antle | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 9555 Sw 162 Ave, West Kendall Baptist Hospital, Miami, FL 33196-6408 |
| Douglas Portillo | Critical Care (intensivists) | South Florida Critical Care Services LLC | 9555 Sw 162 Ave, Miami, FL 33196-6408 |
| Corey J. Lanzet | Internal Medicine | Baptist Health Medical Group Physicians LLC | 9555 Sw 162 Ave, Miami, FL 33196-6408 |
| Rossi J Ramkissoon | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 9555 Sw 162 Ave, West Kendall Baptist Hospital, Miami, FL 33196-6408 |
| Mariana De Jesus Nunez | Critical Care (intensivists) | South Florida Critical Care Services LLC | 9555 Sw 162 Ave, Miami, FL 33196-6408 |
| Sarita Timsina Khanal | Nurse Practitioner | Baptist Health Medical Group Physicians LLC | 9555 Sw 162 Ave, Miami, FL 33196-6408 |
| Rene A Larrieu | Anesthesiology | Anesthesia Associates of Greater Miami, Pa | 9555 Sw 162 Ave, West Kendall Baptist Hospital, Miami, FL 33196-6408 |
| Ana Pacheco E Silva | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Greater Miami, Pa | 9555 Sw 162 Ave, West Kendall Baptist Hospital, Miami, FL 33196-6408 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josefina Farra | General Surgery | University of Miami | 1611 Nw 12th Ave, Miami, FL 33196-1005 |
| Oscar F Alvarez | Physical Therapy | Physical Therapy Now Holdings, LLC | 15680 Sw 88th St, Suite 201, Miami, FL 33196-1160 |
| Wilmer Neptali Mata | General Surgery | Baptist Health Medical Group Physicians LLC | 15955 Sw96th St, Suite 102, Miami, FL 33196-1272 |
| Morvarid Fallahzadeh | Optometry | Center for Excellence In Eyecare Pa | 15955 Sw 96th St, Suite 206, Miami, FL 33196-1272 |
| Charles J Jordan | Orthopedic Surgery | Baptist Health Medical Group Orthopedics, LLC | 15955 Sw 96 St, Suite 401, Miami, FL 33196-1272 |
| Kaitlin E Ross | Family Medicine | Baptist Health Medical Group Physicians LLC | 15955 Sw96th St, Suite 200, Miami, FL 33196-1272 |
| Monica Suarez Kobilis | Family Medicine | Baptist Health Medical Group Physicians LLC | 15955 Sw96th St, Suite 200, Miami, FL 33196-1272 |
| Jacqueline Dominguez | Nurse Practitioner | Baptist Health Medical Group Physicians LLC | 15955 Sw96th St, Suite 200, Miami, FL 33196-1272 |
| Sol Harari | Family Medicine | Baptist Health Medical Group Physicians LLC | 15955 Sw96th St, Suite 200, Miami, FL 33196-1272 |
| Gabriel R Suarez | Family Medicine | Baptist Health Medical Group Physicians LLC | 15955 Sw96th St, Suite 200, Miami, FL 33196-1272 |
| Find all physicians in zip 33196 | |||
| City | MIAMI |
| Zip Code | 33196 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MIAMI + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Alice Dastrup.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.