Active NPI
Juan Antonio Medina, CRNA
- Certified Registered Nurse Anesthetist
- West Palm Beach, FL
National Provider Identifier
1003823725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP754762
- Practice address
- 1500 N Dixie Hwy
Ste 103
West Palm Beach, FL 33401-2712 - Phone
- (561) 833-8893
- Fax
- (561) 833-8939
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP754762 | FL | Primary |
Addresses
Primary practice location
1500 N Dixie Hwy
Ste 103
West Palm Beach, FL 33401-2712
Mailing address
PO Box 16068
High Point, NC 27261-6068
Phone (888) 478-1253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305168400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Assoc. of Palm Beach Gardens, PA | Past | Accepting new patients | |
| Anesthesia & Pain Medicine PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- West Palm Beach, FL
- NPI 1669438693
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1295716231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003823725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16068",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272616068",
"telephone_number": "888-478-1253",
"fax_number": "336-884-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N DIXIE HWY",
"address_2": "STE 103",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012712",
"telephone_number": "561-833-8893",
"fax_number": "561-833-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "JUAN",
"middle_name": "ANTONIO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP754762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305168400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.