James Michael Kolodziej, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8335 Issued in FL

Practice address

9371 Cypress Lake Dr
Suite 3
Ft Myers, FL 33919

Phone

(239) 433-9189

Fax

(239) 433-4672

NPI assigned

Jul 12, 2006

Last updated

Oct 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1043245558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE 3",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-433-9189",
            "fax_number": "239-433-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE 3",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-433-9189",
            "fax_number": "239-433-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381550100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Kolb, PTA
• Marilyn Kole, M.D.
• Gwen R Kolegue, APRN
• Naomi Kollar
• Anton Kolobov, MD
• Joby Kolsun, DO
• Brittany Komes, AU.D.
• Aparna Komma, ARNP
• Bhanuprasad Koneru, M.D.
• Diana Constanza Kooper, M.D.

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.