| Thor William Van Diver, MD | |
|
701 6th St S, St Petersburg, FL 33701-4814 | |
| (727) 823-2188 | |
| (727) 828-0723 |
| Full Name | Thor William Van Diver |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 701 6th St S, St Petersburg, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023061934 | NPI | - | NPPES |
| P00407541 | Other | FL | RAILROAD MCR LINKED TO GRP# CF4811 |
| 268026200 | Medicaid | FL | |
| 81367 | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME88143 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| James G Hankerson Pa | 1254424955 | 23 |
| American Anesthesiology Services Of Florida Inc | 1850674540 | 118 |
| Entity Name | Spartan Anesthesia Associates P.a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710975636 PECOS PAC ID: 0446158745 Enrollment ID: O20031223000637 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Anesthesia & Pain Consultants Of Sw Fl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609843275 PECOS PAC ID: 4082507835 Enrollment ID: O20040205000201 |
| Entity Name | Tampa Bay Surgery Center Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790866036 PECOS PAC ID: 4284674953 Enrollment ID: O20050914000992 |
| Entity Name | James G Hankerson Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235332354 PECOS PAC ID: 1254424955 Enrollment ID: O20070912000002 |
| Entity Name | Sarasota Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689857393 PECOS PAC ID: 4284708207 Enrollment ID: O20080808000213 |
| Entity Name | Feinerman Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821327628 PECOS PAC ID: 2567598725 Enrollment ID: O20100327000275 |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Entity Name | American Anesthesiology Services Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
| Mailing Address | Practice Location Address |
|---|---|
| Thor William Van Diver, MD Po Box 22005, St Petersburg, FL 33742-2005 Ph: (727) 823-2188 | Thor William Van Diver, MD 701 6th St S, St Petersburg, FL 33701-4814 Ph: (727) 823-2188 |
Geoffrey Boyajian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N, Ste A, St Petersburg, FL 33716 Phone: 727-823-2188 Fax: 727-828-0723 | |
Dr. Todd Kenneth Letzring, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1053 | |
Jacqueline Y Biance, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 | |
Shivani M Patel, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 501 6th St S, St Petersburg, FL 33701 Phone: 727-898-7451 | |
Nicole Leclair, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-893-6288 Fax: 904-244-7131 | |
Cindy K Hernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-3583 Fax: 727-767-8429 |