Active NPI
Jonathan Waxman, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME99916
- Practice address
- 9981 S Healthpark Dr Ste 156
Fort Myers, FL 33908-3618 - Phone
- (239) 343-6341
- Fax
- (239) 343-6342
- NPI assigned
- Jun 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 38951 | TN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME99916 | FL | Primary |
Addresses
Primary practice location
9981 S Healthpark Dr Ste 156
Fort Myers, FL 33908-3618
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6341
Other practice location 1
2000 Ogden Ave
Aurora, IL 60504-5893
Phone (630) 499-2404
Other practice location 2
3003 W Dr Martin Luther King Jr Blvd Fl 2
Tampa, FL 33607-6307
Phone (813) 238-0810
Other practice location 3
670 Glades Rd
Suite#300
Boca Raton, FL 33431-6461
Phone (561) 395-2626
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024508200 | Medicaid | FL | |
| 99676 | Other | AR | INDIVID # |
| 4095320 | Other | TN | INDIVID # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwaxman714871@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-6341
Hospital & facility affiliations
- Copley Memorial Hospital
- Silver Cross Hospital and Medical Centers
- Rush University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME99916 | FL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 38951 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Copley Memorial Hospital, Inc. | Current | Accepting new patients | |
| Cardiovascular Surgery Clinic, PLLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
3003 W Mlk Blvd
Fl 2
Tampa, FL 33607
Phone (813) 321-6580
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jonathan.waxman@direct.mybaycare.org
- jwaxman@sapbc.gwaydirect.com
- jonathan.waxman.1@17652.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Endocrinology, Diabetes & Metabolism Physician
- Aurora, IL
- NPI 1619466034
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Memphis, TN
- NPI 1649211418
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1194761973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-6341",
"fax_number": "239-343-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9981 S HEALTHPARK DR STE 156",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083618",
"telephone_number": "239-343-6341",
"fax_number": "239-343-6342"
}
],
"practiceLocations": [
{
"address_1": "2000 Ogden Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605045893",
"country_code": "US",
"telephone_number": "630-499-2404",
"fax_number": "630-499-4750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 W Dr Martin Luther King Jr Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076307",
"country_code": "US",
"telephone_number": "813-238-0810",
"fax_number": "813-238-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "670 Glades Rd",
"address_2": "Suite#300",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316461",
"country_code": "US",
"telephone_number": "561-395-2626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAXMAN",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "38951",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME99916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024508200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVID #",
"identifier": "99676",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVID #",
"identifier": "4095320",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwaxman714871@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.