Individual provider Active NPI

Anna M Widmyer, M.D.

  • Plastic Surgery Physician
  • Lakewood Ranch, FL
National Provider Identifier
1346477163
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME134153 Issued in FL
Practice address
6274 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone
(941) 500-3350
Fax
(941) 220-4338
NPI assigned
Jun 18, 2009
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME134153 FL Primary
Surgery Physician 208600000X MT194596 PA
Surgery Physician 208600000X MD452141 PA

Addresses

Primary practice location

6274 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425

Mailing address

6274 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone (941) 500-3350

Other practice location 1

1715 Stickney Point Rd
Sarasota, FL 34231-8869
Phone (941) 927-2447

Other names 1

  • Anna M Soltys Former name

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
I20171120000813 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 8527373737

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6274 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone (941) 500-3350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy39
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD452141PAMDSurgery Physician
MT194596PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aw Surgery PA Plastic Surgery CurrentSince Sep 9, 2019 Accepting new patients

Locations

11509 Palmbrush Trl
Ste 202
Lakewood Ranch, FL 34202
Phone (941) 500-3350

6274 Lake Osprey Dr
Lakewood Ranch, FL 34240
Phone (302) 757-4559

1715 Stickney Point Rd
Sarasota, FL 34231
Phone (941) 927-2278

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1346477163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6274 LAKE OSPREY DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "941-500-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6274 LAKE OSPREY DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "941-500-3350",
            "fax_number": "941-220-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 Stickney Point Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342318869",
            "country_code": "US",
            "telephone_number": "941-927-2447",
            "fax_number": "941-924-0762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDMYER",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME134153",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT194596",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD452141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SOLTYS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.