Jaroslaw P. Aniszewski, M.D.

Key facts

NPI: 1104888577
Entity type: Individual (NPI type 1)
Primary specialty: Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License: 27067 (NE)
Practice address: 3911 Avenue B
Suite 3400
Scottsbluff, NE 69361-4617
Phone: (308) 630-2101
NPI assigned: Apr 3, 2006
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	27067	NE	Yes

Addresses

Primary practice location

3911 Avenue B
Suite 3400
Scottsbluff, NE 69361-4617

Mailing address

3911 Avenue B
Suite 3400
Scottsbluff, NE 69361-4617
Phone (308) 630-2101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2012.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1104888577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B",
            "address_2": "SUITE 3400",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-630-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B",
            "address_2": "SUITE 3400",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-630-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANISZEWSKI",
        "first_name": "JAROSLAW",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NE",
            "license": "27067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

All providers in Scottsbluff, NE · Endocrinology, Diabetes & Metabolism Physician in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.