Active NPI
Christian Anthony Staniec, PA-C
- Physician Assistant
- Melbourne, FL
National Provider Identifier
1003871849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102247
- Practice address
- 6032 Farcenda PL
#102
Melbourne, FL 32940-7341 - Phone
- (321) 608-8160
- Fax
- (321) 622-6818
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102247 | FL | Primary |
Addresses
Primary practice location
6032 Farcenda PL
#102
Melbourne, FL 32940-7341
Mailing address
1515 W Nasa Blvd
Suite 100
Melbourne, FL 32901-2605
Phone (321) 308-0659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 W Nasa Blvd
Suite 100
Melbourne, FL 32901-2605
Phone (321) 308-0659
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dermatology Physician
- Melbourne, FL
- NPI 1104152495
-
- Dermatology Physician
- Orlando, FL
- NPI 1316105885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1003871849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W NASA BLVD",
"address_2": "SUITE 100",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012605",
"telephone_number": "321-308-0659",
"fax_number": "321-309-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6032 FARCENDA PL",
"address_2": "#102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407341",
"telephone_number": "321-608-8160",
"fax_number": "321-622-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANIEC",
"first_name": "CHRISTIAN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.