Walter J Kaniefski, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD444759 Issued in PA

Practice address

601 Park St
Emergency Medicine Department
Honesdale, PA 18431-1445

Phone

(570) 253-8140

Fax

(570) 253-8633

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 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

Specialty

Emergency Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474

  FL

  Medicare reassignment Care Compare group NPD
• Dwic of Tampa Bay, Inc.

  • Urgent Care Clinic/Center
  • Clearwater, FL
  • NPI 1780633834

  FL

  Medicare reassignment NPD
• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419

  Emergency Medicine, NJ

  Medicare reassignment NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1366544728

  FL

  Medicare reassignment NPD
• Dwic of Tampa Bay, Inc

  • Urgent Care Clinic/Center
  • Naples, FL
  • NPI 1326583485
  NPD
• Dwic of Tampa Bay, Inc.

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1023067220
  NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1245506807
  NPD
• Danville Emergency Group LLC

  • Emergency Medicine Physician
  • Danville, VA
  • NPI 1235373077

  Emergency Medicine

  NPD (past)
• Danville Emergency Physicians, PC

  • Emergency Medicine Physician
  • Danville, VA
  • NPI 1598718751

  Emergency Medicine

  NPD (past)
• Dwic of Tampa Bay, Inc

  • Urgent Care Clinic/Center
  • Hudson, FL
  • NPI 1598132490
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1003840422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "address_2": "CREDENTIALING/PAYER CONTRACTING DEPT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-805-0477",
            "fax_number": "866-250-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445",
            "telephone_number": "570-253-8140",
            "fax_number": "570-253-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIEFSKI",
        "first_name": "WALTER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101055974",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD444759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10394151",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010295564",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Mitschele LCSW LLC
• Melissa Lyn Jones, D.O.
• Vance Martin Jones, DDS
• Jennifer Marie Joyce, MD
• Just Julia LLC
• David B Kaplan, M.D.
• David C Kaplan, MD
• Karen Sue Kay, PHARMACIST
• Margaret L Kellogg, CRNP
• Theresa A Kelly, CRNA

• All providers in Honesdale, PA
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.