Organization Active NPI

Krzysztof T Lewandowski MD

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1093105249
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME70941 Issued in FL
Legal business name
KRZYSZTOF T LEWANDOWSKI MD
Practice address
2101 Northside Dr
601
Panama City, FL 32405-3687
Phone
(850) 747-9969
Fax
(850) 747-1052
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Krzysztof T Lewandowski, MDNPI 1164415717
Title
Doctor/Owner
Phone
(850) 747-9969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME70941 FL Primary

Addresses

Primary practice location

2101 Northside Dr
601
Panama City, FL 32405-3687

Mailing address

2101 Northside Dr
601
Panama City, FL 32405-3687
Phone (850) 747-9969

Other identifiers 1

IdentifierTypeStateIssuer
250359001MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1093105249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR",
            "address_2": "601",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053687",
            "telephone_number": "850-747-9969",
            "fax_number": "850-747-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR",
            "address_2": "601",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053687",
            "telephone_number": "850-747-9969",
            "fax_number": "850-747-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRZYSZTOF T LEWANDOWSKI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "KRZYSZTOF",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "850-747-9969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250359001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.