DR. ANDREW LEE RAIDER (NPI# 1558323865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558323865 |
| Entity Type | Individual |
| Full Name | DR. ANDREW LEE RAIDER |
| Credential | D.O. |
| Practice Address |
21298 Olean Blvd Fawcett Memorial Hospital/anesthesia Port Charlotte FL 33952-6705 |
| Mailing Address |
2332 Saint David Island Ct Punta Gorda FL 33950-8146 |
| Practice Telephone | 9416276110 |
| Mailing Telephone | 9416397743 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | OS8882 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSS | 71114 | 01 |
| FL | 267425400 | 05 |
| Street Address |
21298 OLEAN BLVD FAWCETT MEMORIAL HOSPITAL/ANESTHESIA |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068497 | Fawcett Medical Imaging Pa | Radiology | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2006-01-19 |
| 1063037760 | Joahnna Faye Almero | Physical Therapist | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2020-06-09 |
| 1952925893 | Andy Hieu Mai | Pharmacist | 21298 Olean Blvd, Port Charlotte, FL 33952-6765 | 2020-06-06 |
| 1912533357 | Melissa Aniskewicz | Registered Nurse | 21298 Olean Blvd, Port Charlotte, FL 33952-6765 | 2020-03-17 |
| 1144798364 | Robert Henry Causey Iv | Registered Nurse | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2018-11-06 |
| 1477076107 | Justin Gary Broadhead | Nurse Anesthetist, Certified Registered | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2017-07-25 |
| 1902341878 | Lawrence Williams | Nurse Anesthetist, Certified Registered | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2016-12-30 |
| 1447623228 | Winding Road Emergency Physicians, LLC | Physician Assistant | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2015-11-03 |
| 1689047466 | Vanguard Emergency Physicians, LLC | Physician Assistant | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2015-11-03 |
| 1679974471 | Sunapee Inpatient Services LLC | Internal Medicine | 21298 Olean Blvd, #2, Port Charlotte, FL 33952-6705 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| 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 |
|---|---|---|---|---|
| 1154481059 | Louis Andrew Kovacs | Anesthesiology | 3109 Tamiami Trl Ste 3, Port Charlotte, FL 33952-8046 | 2006-12-11 |
| 1649371097 | John Garro | Anesthesiology | 18350 Murdock Cir, #102, Port Charlotte, FL 33948-1024 | 2006-09-26 |
| 1114369600 | West Florida Cardiac Anesthesia Services LLC | Anesthesiology | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2013-07-24 |
| 1255778197 | Gulf-to-bay Anesthesiology Associates LLC | Anesthesiology | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2013-06-02 |
| 1083956239 | Andrew Gordon Cook | Anesthesiology | 19621 Cochran Blvd Ste 3, Port Charlotte, FL 33948 | 2013-03-25 |
| 1023036860 | Kiran Pai | Anesthesiology | 21298 Olean Blvd, Port Charlotte, FL 33949 | 2006-07-18 |
| 1891727210 | Michael Morales | Anesthesiology | 21298 Olean Blvd, Port Charlotte, FL 33949 | 2006-07-07 |
| 1083646558 | Minson Leung | Anesthesiology | 21298 Olean Blvd, Port Charlotte, FL 33949 | 2006-07-07 |
| 1912939497 | Swaroop Muppavarapu | Anesthesiology | 21298 Olean Blvd, Port Charlotte, FL 33949-4028 | 2006-07-07 |
| 1003859471 | Gulf Coast Anesthesia Associates Inc | Anesthesiology | 21298 Olean Blvd, Port Charlotte, FL 33949 | 2006-06-14 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.