Individual provider Active NPI

Danny Lim, AA

  • Anesthesiologist Assistant
  • Winter Haven, FL
National Provider Identifier
1780051094
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
290 Issued in FL
Practice address
200 Avenue F NE
Winter Haven, FL 33881
Phone
(863) 293-1121
NPI assigned
Aug 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 114 WI
Anesthesiologist Assistant 367H00000X 290 FL Primary

Addresses

Primary practice location

200 Avenue F NE
Winter Haven, FL 33881

Mailing address

8153 Jailene Dr
Windermere, FL 34786-6745
Phone (954) 328-9388

Other practice location 1

840 N 87th St
Milwaukee, WI 53226-3586
Phone (414) 805-9500

Other practice location 2

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000

Other practice location 3

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 293-1121

Other practice location 4

W180N8045 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 250-0950

Other practice location 5

W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 257-5100

Other identifiers 2

IdentifierTypeStateIssuer
1780051094MedicaidFL
1780051094MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151204000595 FL Practitioner - Anesthesiology Assistant 5799085205 Reassigns benefits to 4 organizations
I20180904000702 WI Practitioner - Anesthesiology Assistant 5799085205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17000 Porter Rd
Winter Garden, FL 34787-8915
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
114WIMDPulmonary Disease Physician
290FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Florida Inc. Anesthesiologist Assistant CurrentSince Jun 2, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiologist Assistant CurrentSince Feb 1, 2023 Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince Feb 1, 2023 Accepting new patients
Anesthesia Associates MD PA CurrentSince Jul 1, 2020 Accepting new patients
Ams National LLC CurrentSince Jun 15, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc Current Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jul 1, 2018 Accepting new patients

Locations

40100 Highway 27
#C
Davenport, FL 33837
Phone (863) 866-4192

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

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

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

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

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

17000 Porter Rd
Winter Garden, FL 34787
Phone (321) 841-3467

567 Avenue K SE
Winter Haven, FL 33880
Phone (863) 299-1231

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

W180N8045 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 250-0950

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Organizations & group practices 7

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.

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1780051094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 JAILENE DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866745",
            "telephone_number": "954-328-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-293-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 N 87th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263586",
            "country_code": "US",
            "telephone_number": "414-805-9500",
            "fax_number": "414-805-7878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 W Chambers St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101650",
            "country_code": "US",
            "telephone_number": "414-447-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Avenue F NE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "33881",
            "country_code": "US",
            "telephone_number": "863-293-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W180N8045 Town Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530513518",
            "country_code": "US",
            "telephone_number": "262-250-0950",
            "fax_number": "262-250-0955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W180N8085 Town Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530513518",
            "country_code": "US",
            "telephone_number": "262-257-5100",
            "fax_number": "262-518-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "DANNY",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "WI",
            "license": "114",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780051094",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780051094",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.