Michael T. Mizuta, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9441386 Issued in FL

Practice address

4725 N Federal Highway
American Anesthesiology Services of Florida, Inc.
Fort Lauderdale, FL 33308-4603

Phone

(954) 493-5005

Fax

(954) 938-0957

NPI assigned

Jun 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Amsurg South Bay Anesthesia LPGroup PAC ID 4082853411, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Amsurg South Bay Anesthesia LP

  • Anesthesiology Physician
  • Torrance, CA
  • NPI 1811230022
  Medicare reassignment Care Compare group NPD
• Synergy Anesthesia a Professional Nursing Corp

  • Certified Registered Nurse Anesthetist
  • Northridge, CA
  • NPI 1578283305

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Tip Top Anesthesia Group Inc

  • Licensed Practical Nurse
  • Beverly Hills, CA
  • NPI 1508283698
  Medicare reassignment NPD
• Jeffrey Hua, Crna, Nursing, Inc.

  • Certified Registered Nurse Anesthetist
  • Lancaster, CA
  • NPI 1285373209

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1922480896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HIGHWAY",
            "address_2": "AMERICAN ANESTHESIOLOGY SERVICES OF FLORIDA, INC.",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-493-5005",
            "fax_number": "954-938-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUTA",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "720891",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9441386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018674700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Anne Mitchell, A.P.
• Toni Diane Mitchell, PT
• Angelina Alekseevna Mitianova
• Joanna Mitrega, CNM
• Neeta Mitroo, MD
• Mobile Chiro Rehab, Inc.
• Mobile PVD, LLC
• Raluca Mocanu
• Jeremiah Model, LMHC
• Peter Modera, DPT

• Certified Registered Nurse Anesthetist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.