Active NPI
Leon Beaulieu, AA
- Anesthesiologist Assistant
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA149
- Practice address
- 1613 N. Harrison Parkway
Suite 200
Sunrise, FL 33323-2853 - Phone
- (954) 514-4793
- Fax
- (954) 851-1746
- NPI assigned
- Oct 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA149 | FL | Primary |
Addresses
Primary practice location
1613 N. Harrison Parkway
Suite 200
Sunrise, FL 33323-2853
Mailing address
1613 North Harrison Parkway
Suite 200
Sunrise, FL 33323-2853
Phone (954) 514-4793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 650-6271
401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of South Florida, LLC | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Current | Accepting new patients |
Locations
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
-
- Anesthesiology Physician
- Tamarac, FL
- NPI 1366864852
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1437823507
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1538964754
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1881947190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 NORTH HARRISON PARKWAY",
"address_2": "SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-514-4793",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N. HARRISON PARKWAY",
"address_2": "SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-514-4793",
"fax_number": "954-851-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAULIEU",
"first_name": "LEON",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.