John Andrew Podlaski, D.C., DACBN,DABCI

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

4801 Issued in FL

Practice address

2721 SE 23Rd Ave
Ocala, FL 34471-0710

Phone

(352) 414-9998

Fax

(352) 867-1015

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1114030400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SE 23RD AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710710",
            "telephone_number": "352-414-9998",
            "fax_number": "352-867-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SE 23RD AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710710",
            "telephone_number": "352-414-9998",
            "fax_number": "352-867-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODLASKI",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C., DACBN,DABCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "4801",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "4801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BG080Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55690",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internist Chiropractor in Ocala, FL
• Providers in Ocala, FL by specialty
• Internist Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.