Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Patrick Ennen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639676331

James Patrick Ennen is an Anesthesiology in Gainesville, Florida. Qualified in 2018, 8 years ago. Practices with Anesthesia Medical Group of Santa Cruz Inc, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-0001
Phone: (612) 245-6357
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (612) 245-6357

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME157168 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639676331
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESSeptember 8, 2022
Certification dateJune 28, 2022
Mailing address1600 Sw Archer Rd, Po Box 100254, Gainesville, FL 32610-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Anesthesia Medical Group Of Santa Cruz Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville