Individual provider Active NPI

Michael Lazarus Lemon, MD

  • Anesthesiology Physician
  • Greenacres, FL
National Provider Identifier
1427070960
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME84308 Issued in FL
Practice address
6677 Eagle Ridge Dr
Greenacres, FL 33413-2129
Phone
(714) 478-1447
NPI assigned
Jul 24, 2006
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME84308 FL Primary

Addresses

Primary practice location

6677 Eagle Ridge Dr
Greenacres, FL 33413-2129

Mailing address

6677 Eagle Ridge Dr
Greenacres, FL 33413-2129
Phone (714) 478-1447

Other identifiers 2

IdentifierTypeStateIssuer
51347OtherFLBLUE CROSS BLUE SHIELD
273080400MedicaidFL

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
I20050622000920 FL Practitioner - AnesthesiologyPractitioner - Family Practice 6406836311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84308FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates P.a. Anesthesiology Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Anesthesia Simplified LLC Past Accepting new patients
Avid Health Plans LLC PastSince Dec 22, 2021 Accepting new patients
Sebastian River Anesthesiology Associates, P. a. Anesthesiology Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1427070960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 EAGLE RIDGE DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132129",
            "telephone_number": "714-478-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 EAGLE RIDGE DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132129",
            "telephone_number": "714-478-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMON",
        "first_name": "MICHAEL",
        "middle_name": "LAZARUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME84308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51347",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273080400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.