Individual provider Active NPI

David Vernon Hidalgo, CRNA

  • Certified Registered Nurse Anesthetist
  • Clermont, FL
National Provider Identifier
1407875396
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9184832 Issued in FL
Practice address
1381 Citrus Tower Blvd
Suite 4
Clermont, FL 34711
Phone
(352) 243-9114
Fax
(352) 243-7822
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9184832 FL Primary

Addresses

Primary practice location

1381 Citrus Tower Blvd
Suite 4
Clermont, FL 34711

Mailing address

1381 Citrus Tower Blvd
Suite 4
Clermont, FL 34711
Phone (352) 243-9114

Other identifiers 2

IdentifierTypeStateIssuer
G3931OtherFLBCBS
307454400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000675 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921056680 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Anesthesiologists of Greater Orlando IncGroup PAC ID 7416928536, 339 clinicians
Apollo Medical Group of Central Florida PLLCGroup PAC ID 1153898556, 41 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (954) 939-5000

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2016 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Nov 17, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 21, 2024 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jul 31, 2016 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 21, 2024 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
The Capital City Anesthesia Group, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
South Lake Anesthesia Services, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 39)

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865

890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142

1800 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-7142

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

Organizations & group practices 15

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.

View all 15

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407875396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 CITRUS TOWER BLVD",
            "address_2": "SUITE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-243-9114",
            "fax_number": "352-243-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 CITRUS TOWER BLVD",
            "address_2": "SUITE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-243-9114",
            "fax_number": "352-243-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "DAVID",
        "middle_name": "VERNON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9184832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3931",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307454400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.