Organization Active NPI

Dr. John W Kauzlarich

  • Primary Care Clinic/Center
  • Largo, FL
National Provider Identifier
1073807905
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS03478 Issued in FL
Legal business name
DR. JOHN W KAUZLARICH
Practice address
9110 Cypress TRL
Largo, FL 33777-1152
Phone
(727) 460-1300
Fax
(727) 393-4447
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Dr. John William Kauzlarich, DO
Title
Physician
Phone
(727) 460-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OS03478 FL Primary

Addresses

Primary practice location

9110 Cypress TRL
Largo, FL 33777-1152

Mailing address

9110 Cypress TRL
Largo, FL 33777-1152
Phone (727) 460-1300

Other identifiers 1

IdentifierTypeStateIssuer
001036700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1073807905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 CYPRESS TRL",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771152",
            "telephone_number": "727-460-1300",
            "fax_number": "727-393-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 CYPRESS TRL",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771152",
            "telephone_number": "727-460-1300",
            "fax_number": "727-393-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN W KAUZLARICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "KAUZLARICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-460-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS03478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001036700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.