CMS-1500 Box 24J / 33a • NPI
1396992806
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
367H00000X (CMS 32)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant
Box 32 Service Location & ZIP+4
11103 SUN TREE RD, HUDSON, FL, 34667-5541
✓ 9-Digit EDI 837 ZIP+4 (34667-5541)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396992806 (ANESTHESIA & DISASTER MEDICAL SERVICES INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396992806 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ANESTHESIA & DISASTER MEDICAL SERVICES INC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant NUCC Code: 367H00000X (Anesthesiologist Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 11103 SUN TREE RD, HUDSON, FL, 34667-5541 |
| Practice Telephone / Fax | Tel: (863) 471-1413 | Fax: (863) 471-1416 |
| Administrative Mailing Address | 11103 SUN TREE RD, HUDSON, FL, 34667-5541 |
| Enumeration & Last Sync | Enumerated: 2008-08-26 | CMS Record Updated: 2008-08-26 |
| Authorized Official | RONALD WEGNER (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367H00000X)
What Does Taxonomy Code 367H00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367H00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANESTHESIA & DISASTER MEDICAL SERVICES INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
367H00000X — Anesthesiologist AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant | State: FL | License: ARNP 1422382 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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