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Active NPI 1073895017 Individual Practitioner Male Practitioner

Edward De Jesus Bolanos , CAA

Anesthesiologist Assistant • Miramar, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edward Bolanos, CAA is a certified Anesthesiologist Assistant practicing in Miramar, FL. With approximately 15 years of clinical experience since completing medical education in 2011, Edward Bolanos delivers high-quality medical care to the local community at 1901 SW 172ND AVE.

Edward Bolanos is affiliated with Sheridan Healthcorp Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1901 Sw 172nd Ave

Miramar, FL 330295592

Telephone 9548382371
Fax 9548511746
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Miramar, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +1.2 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Miramar, FL (970 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bolanos (15 Years) 15 Yrs
Miramar Specialty Average (13.8 Years) 13.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-03-29
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License FL AA97

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Hospital & Practice Group Affiliations

Sheridan Healthcorp Inc

1901 Sw 172 Ave, Miramar, FL 330295592

Phone: 9545384600

Sheridan Healthcorp Inc

401 Nw 42nd Ave, Plantation, FL 333172835

Phone: 9545875010

Sheridan Healthcorp Inc

3501 Johnson St, Hollywood, FL 330215421

Phone: 9542655339

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Hesham Tawakol , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003876764

Doctor of Medicine (M.D.)

Velda Vandling , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003883323

Certified Registered Nurse Anesthetist

NPI 1003888017

Doctor of Osteopathic Medicine (D.O.)

Cynthia Azoubel , PA-C

Physician Assistant

NPI 1013248095

Physician Assistant (Certified)

Nicole Thompson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013479146

Certified Registered Nurse Anesthetist

NPI 1013981745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address March 29, 2021

Registered at 7700 W SUNRISE BLVD, PLANTATION, FL 333224113 (Tel: 9548382371)

👤
Provider Name / Credentials Updated March 29, 2021

Recorded as EDWARD BOLANOS, CAA

NPI Profile Active September 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2011

Registered at 1901 SW 172ND AVE, MIRAMAR, FL 330295592 (Tel: 9548382371)

📍
Updated Business Mailing Address September 15, 2011

Registered at 1613 HARRISON PKWY STE 200, SUNRISE, FL 333232853 (Tel: 9548382371)

👤
Provider Name / Credentials Updated September 15, 2011

Recorded as EDWARD BOLANOS, AA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2011

Anesthesiologist Assistant (License #AA97 in FL)

🟢
Initial NPI Registration & Enumeration September 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073895017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2011
Last Update: March 29, 2021
Sole Proprietor: No

Mailing Address

7700 W Sunrise Blvd

Plantation, FL 333224113

Phone: 9548382371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.