Individual provider Active NPI

Marcy Ann Studzinski, DO

  • Cardiovascular Disease Physician
  • Fort Pierce, FL
National Provider Identifier
1104896026
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MEOS6966 Issued in FL
Practice address
1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837
Phone
(772) 465-4499
Fax
(772) 466-0832
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS-6966 FL
Cardiovascular Disease Physician 207RC0000X MEOS6966 FL Primary

Addresses

Primary practice location

1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837

Mailing address

1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837
Phone (772) 465-4499

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MEOS6966FLMDCardiovascular Disease Physician
OS-6966FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Doctors, PA PastSince Jun 7, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1104896026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVENUE",
            "address_2": "SUITE 9",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-4499",
            "fax_number": "772-466-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVENUE",
            "address_2": "SUITE 9",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-4499",
            "fax_number": "772-466-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDZINSKI",
        "first_name": "MARCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS-6966",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "MEOS6966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.