Individual provider Active NPI

Vania Enid Fernandez, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hollywood, FL
National Provider Identifier
1124229497
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME98334 Issued in FL
Practice address
2 Oakwood Boulevard
Suite 195
Hollywood, FL 33020
Phone
(954) 447-5206
Fax
(954) 447-5259
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME98334 FL Primary

Addresses

Primary practice location

2 Oakwood Boulevard
Suite 195
Hollywood, FL 33020

Mailing address

1951 SW 172 Avenue
Suite 314
Miramar, FL 33029
Phone (904) 399-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000415 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 2466511316 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Water Pain Solutions, PAGroup PAC ID 0143547232, 7 clinicians

Practice addresses (Care Compare)

1951 Sw172Nd Ave
Suite 314
Miramar, FL 33029-5614
Phone (954) 447-5206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Mary Surgery Center LLC Current Accepting new patients
Blue Water Pain Solutions, PA Pain Medicine CurrentSince May 1, 2024 Accepting new patients
Broward Spine Institute LLC CurrentSince May 16, 2017 Accepting new patients
Feinerman Anesthesia PA CurrentSince Jun 1, 2023 Accepting new patients
Blue Water Pain Solutions, PA Pain Medicine CurrentSince May 1, 2024 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Aug 1, 2012 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

3702 Washington St
Ste 100
Hollywood, FL 33021
Phone (954) 272-2225

2 Oakwood Blvd
Ste 195
Hollywood, FL 33020
Phone (305) 459-3410

3702 Washington St
Ste 101
Hollywood, FL 33021
Phone (954) 272-2225

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

1951 SW 172nd Ave
Ste 314
Miramar, FL 33029
Phone (549) 447-5206

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDHBD

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1124229497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172 AVENUE",
            "address_2": "SUITE 314",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "904-399-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD BOULEVARD",
            "address_2": "SUITE 195",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-447-5206",
            "fax_number": "954-447-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "VANIA",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-07-16",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME98334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.