Organization Active NPI

Aw Surgery PA

Doing business as Anna Widmyer

  • Plastic Surgery Physician
  • Lakewood Ranch, FL
National Provider Identifier
1407499841
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
AW SURGERY PA
Doing business as
Anna Widmyer
Lakewood Ranch Plastic Surgery
Practice address
6274 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone
(941) 500-3350
Fax
(941) 220-4338
NPI assigned
Oct 17, 2019
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
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

Authorized official

Name
Jacqueline Sabol
Title
Office Manager
Phone
(941) 500-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

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 names 2

  • Anna Widmyer Doing business as
  • Lakewood Ranch Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1407499841",
    "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",
            "fax_number": "941-220-4338"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "AW SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SABOL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-500-3350"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna Widmyer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakewood Ranch Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.