Organization Active NPI

Stan Zemankiewicz M D PH D P a

  • Orthopaedic Surgery Physician
  • Bartow, FL
National Provider Identifier
1114046372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0047215 Issued in FL
Legal business name
STAN ZEMANKIEWICZ M D PH D P A
Practice address
2250 Osprey Blvd
Suite 104
Bartow, FL 33830-4340
Phone
(863) 533-4033
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian Clukie
Title
Administrator
Phone
(813) 659-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME0047215 FL Primary

Addresses

Primary practice location

2250 Osprey Blvd
Suite 104
Bartow, FL 33830-4340

Mailing address

2250 Osprey Blvd
Suite 104
Bartow, FL 33830-4340
Phone (863) 533-4033

National Provider Directory

National Provider Directory

Locations

4406 S Florida Ave
Ste 25
Lakeland, FL 33813
Phone (863) 701-0109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114046372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 OSPREY BLVD",
            "address_2": "SUITE 104",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304340",
            "telephone_number": "863-533-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 OSPREY BLVD",
            "address_2": "SUITE 104",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304340",
            "telephone_number": "863-533-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAN ZEMANKIEWICZ M D PH D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLUKIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-659-2502"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0047215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.