Individual provider Active NPI

Fernando Zayas-Bazan, M.D.

  • Pediatric Anesthesiology Physician
  • Jacksonville, FL
National Provider Identifier
1972820587
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
ME121049 Issued in FL
Practice address
807 Childrens Way
Nemours Childrens Clinic, Jacksonville
Jacksonville, FL 32207-8426
Phone
(904) 697-3600
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X ME121049 FL
Pediatric Anesthesiology Physician 207LP3000X ME121049 FL Primary

Addresses

Primary practice location

807 Childrens Way
Nemours Childrens Clinic, Jacksonville
Jacksonville, FL 32207-8426

Mailing address

PO Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (302) 651-6212

Other identifiers 1

IdentifierTypeStateIssuer
015274400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150811005586 FL Practitioner - Anesthesiology 1052626660 Reassigns benefits to 4 organizations
I20230824000929 NY Practitioner - Anesthesiology 1052626660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Florida Anesthesiologists LLCGroup PAC ID 3173711017, 315 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Coral Anesthesia Associates, IncGroup PAC ID 5193986131, 47 clinicians
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (954) 939-5000

3201 S Tamiami TRL
Sarasota, FL 34239-5112
Phone (941) 556-3515

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (954) 939-5000

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

900 Carillon Pkwy
Suite 205
Saint Petersburg, FL 33716-1108
Phone (954) 939-5000

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
U of R Anesthesiology Group Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Coral Anesthesia Associates, Inc Anesthesiology CurrentSince Jun 5, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Coral Anesthesia Associates, Inc Anesthesiology CurrentSince Jun 5, 2024 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Aug 23, 2023 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

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

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

10475 Centurion Pkwy N
Ste 101
Jacksonville, FL 32256
Phone (904) 652-2328

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

1879 Veterans Park Dr
Ste 1101
Naples, FL 34109
Phone (239) 248-7623

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

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

3201 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-5476

2621 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 444-5510

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

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

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

Organizations & group practices 11

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 4

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443225600000",
    "number": "1972820587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPARTMENT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CHILDRENS WAY",
            "address_2": "NEMOURS CHILDRENS CLINIC, JACKSONVILLE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078426",
            "telephone_number": "904-697-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS-BAZAN",
        "first_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2015-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME121049",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "FL",
            "license": "ME121049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015274400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.