Jarrod Wilson

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME133911 Issued in FL

Practice address

1515 SE 17TH St Ste 119a
Fort Lauderdale, FL 33316-1736

Phone

(954) 859-5777

NPI assigned

Nov 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Remedy Health and Wellness, LLC

  dba The Remedy IV Health and Wellness

  • Public Health & General Preventive Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1114681665
  NPD Authorized official

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1356747695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SE 17TH ST STE 119A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161736",
            "telephone_number": "954-859-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JARROD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-14",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME133911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022405200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Wilner
• Jarrod Scott Wilner, D.C.
• Ashley Lynn Wilson, PT, DPT
• Carolyn Lorraine Wilson
• Hope Wilson
• Robert Wayne Wilson, MD
• Tammie Monique Wilson
• Leonie Wims, L.AC.
• Window Pane PA
• Warren W Windram, D.P.M.

• Anesthesiology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.