Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Bodway

Individual provider Anesthesiologist Assistant · NPI 1063133635

Jacob Bodway is an Anesthesiology Assistant in Miami, Florida. Graduated from University of South Florida College of Medicine in 2018, 8 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

3663 S Miami Ave
Miami, FL 33133-4253
Phone: (305) 854-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA734 (FL)

Record details

NPI number1063133635
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address770 Claughton Island Dr Apt 810, Miami, FL 33131-2627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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