JAMES PRUCHNIEWSKI DPM PA (NPI# 1134438948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134438948 |
| Entity Type | Organization |
| Organization Name | JAMES PRUCHNIEWSKI DPM PA |
| Practice Address |
4973 Us Highway 98 N Lakeland FL 33809-3657 |
| Practice Telephone | 8638594434 |
| Practice Fax Number | 8638597461 |
| Mailing Telephone | 8638594434 |
| Mailing Fax Number | 8638597461 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | JAMES PRUCHNIEWSKI (PRESIDENT) |
| Authorized Official Telephone | 8638594434 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 1910 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 041061600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255509196 | James Pruchniewski Dpm Pa | Durable Medical Equipment & Medical Supplies | 4973 Us Highway 98 N, Lakeland, FL 33809-3657 | 2008-02-13 |
| Street Address |
4973 US HIGHWAY 98 N |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386758134 | James F Pruchniewski | Podiatrist | 4973 Us Highway 98 N, Lakeland, FL 33809-3657 | 2006-08-18 |
| 1255509196 | James Pruchniewski Dpm Pa | Durable Medical Equipment & Medical Supplies | 4973 Us Highway 98 N, Lakeland, FL 33809-3657 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884917 | William S Wong | Podiatrist | 927 S Florida Ave, Lakeland, FL 33803-1149 | 2006-03-08 |
| 1992776975 | Gabriel Felix Delgado | Podiatrist | 203 Kerneywood St, Lakeland, FL 33803-2947 | 2006-01-30 |
| 1619269362 | Kelly A. Poncheri Dpm Pa | Podiatrist | 4692 Exploration Ave, Lakeland, FL 33812-4107 | 2011-05-12 |
| 1689823742 | Kelly A Poncheri | Podiatrist | 4712 Exploration Ave, Lakeland, FL 33812-3319 | 2008-09-15 |
| 1801067194 | Gabriel F Delgado Dpm Pa | Podiatrist | 203 Kerneywood St, Lakeland, FL 33803-2947 | 2008-03-14 |
| 1861662546 | Eric J. Breuggeman Dpm, Pa | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2008-03-10 |
| 1528241304 | William S Wong, D.p.m. P.a. | Podiatrist | 927 S Florida Ave, Lakeland, FL 33803-1149 | 2007-12-14 |
| 1598878191 | David W Gergen | Podiatrist | 5421 S Florida Ave, Lakeland, FL 33813-2523 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.