NPIMap

Organization Active NPI

Mda Anesthesia, LLC

  • Anesthesiology Physician
  • Belle Glade, FL
National Provider Identifier
1336784115
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MDA ANESTHESIA, LLC
Practice address
39200 Hooker Hwy
Belle Glade, FL 33430-5368
Phone
(561) 707-9149
NPI assigned
Nov 15, 2019
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Daniela Ghiragossian
Title
Administrator
Phone
(561) 268-6509

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

39200 Hooker Hwy
Belle Glade, FL 33430-5368

Mailing address

2326 S Congress Ave Ste 1C
West Palm Beach, FL 33406-7652

Other practice location 1

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500

Other practice location 2

16750 Persimmon Blvd
Westlake, FL 33470-7000
Phone (561) 791-7200

Other practice location 3

206 2nd St E
Bradenton, FL 34208-1000
Phone (941) 746-5111

Other practice location 4

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226000293 FL Part B Supplier - Clinic/Group Practice 2668809914 Receives reassigned benefits from 28 practitioners
Practice locations: Belle Glade, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1336784115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 S CONGRESS AVE STE 1C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39200 HOOKER HWY",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334305368",
            "telephone_number": "561-707-9149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146103",
            "country_code": "US",
            "telephone_number": "561-798-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16750 Persimmon Blvd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "FL",
            "postal_code": "334707000",
            "country_code": "US",
            "telephone_number": "561-791-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 2nd St E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342081000",
            "country_code": "US",
            "telephone_number": "941-746-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8330 Lakewood Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025174",
            "country_code": "US",
            "telephone_number": "941-782-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MDA ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "GHIRAGOSSIAN",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-268-6509"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.