GERALD A NIEDZWIECKI MD PA NPI 1639318637

NPI Information

NPI: 1639318637
Provider Name: GERALD A NIEDZWIECKI MD PA
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
2730 N MCMULLEN BOOTH RD
SUITE 203
CLEARWATER, FL
ZIP 33761
Phone: (727) 286-8929
Get Directions

GERALD A NIEDZWIECKI MD PA is a vascular and interventional radiology radiology in Clearwater, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. GERALD A NIEDZWIECKI MD PA NPI is 1639318637. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2730 N MCMULLEN BOOTH RD
SUITE 203
CLEARWATER, FL
ZIP 33761-302
Phone: (727) 286-8929
Fax: (727) 286-8933

The provider's authorized official is Gerald Anthony Niedzwiecki .
The authorized official title is President/shareholder and has the following contact phone number (727) 791-7300.

The enumeration date for this NPI number is 2/13/2009 and was last updated on 5/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	ME81474	FLORIDA	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME0070649	FLORIDA	No
3	2085R0202X	Radiology	Diagnostic Radiology	ME81474	FLORIDA	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	ME0070649	FLORIDA	No
5	363A00000X	Physician Assistant		PAT9104325	FLORIDA	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	ME0070649	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	203364	OTHER	FLORIDA	AVMED
2	220039	OTHER	FLORIDA	AMERIGROUP
3	300123717	OTHER	FLORIDA	RAILROAD MEDICARE
4	31439	OTHER	FLORIDA	BCBS
5	F99793	MEDICARE UPIN	FLORIDA
6	250195300	MEDICAID	FLORIDA
7	1600774	OTHER	FLORIDA	UNITED HEALTHCARE
8	2648373	OTHER	FLORIDA	AETNA HMO
9	4593565	OTHER	FLORIDA	AETNA PPO
10	31439A	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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