Active NPI
Simon Wansa, MD
- Anesthesiology Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME94147
- Practice address
- C/O Broward General Medical Center
1600 South Andrews Avenue
Fort Lauderdale, FL 33316 - Phone
- (954) 355-4400
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME94147 | FL | Primary |
Addresses
Primary practice location
C/O Broward General Medical Center
1600 South Andrews Avenue
Fort Lauderdale, FL 33316
Mailing address
C/O Anesco North Broward LLC
3601 W Commercial Blvd Ste 45
Fort Lauderdale, FL 33309
Phone (954) 485-5666
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929
8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94147 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Anesthesia Specialists LLC | Anesthesiology | Current | Accepting new patients |
| Nova Medical Services - Anesthesiology Division LLC | Anesthesiology | Current | Accepting new patients |
| South Florida Anesthesia & Pain Treatment, P.a. | Anesthesiology | Current | Accepting new patients |
| PBG Team Anesthesia PA | Anesthesiology | Current | Accepting new patients |
| Anesco Central LLC | Anesthesiology | Past | Accepting new patients |
Locations
3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1245043835
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1861623316
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1528302866
-
- Anesthesiology Physician
- Hialeah, FL
- NPI 1235434275
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1710975925
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba HCA Florida Bayonet Point Hospital
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
-
dba HCA Florida Largo Hospital
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346268398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O ANESCO NORTH BROWARD LLC",
"address_2": "3601 W COMMERCIAL BLVD STE 45",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C/O BROWARD GENERAL MEDICAL CENTER",
"address_2": "1600 SOUTH ANDREWS AVENUE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "954-355-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANSA",
"first_name": "SIMON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME94147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.