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

Theodore Hanley, MD

Individual provider Anesthesiology Physician · NPI 1235183559

Theodore Hanley, MD is an Anesthesiology in Saint Petersburg, Florida. Graduated from State University of New York Downstate Medical Center in 1989, 37 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
37
Trained at
State University of New York Downstate Medical Center
Licensed in
FL, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10601 Gandy Blvd N Apt 4302
Saint Petersburg, FL 33702-1505
Phone: (917) 821-5813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME136477 (FL)
Specialist Taxonomy 174400000X · Licence 187032 (NY)

Record details

NPI number1235183559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address10601 Gandy Blvd N Apt 4302, Saint Petersburg, FL 33702-1505

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1989 (37 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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