Individual provider Active NPI

James R Piotrowski, PAC-MS

  • Physician Assistant
  • Lake Mary, FL
National Provider Identifier
1124031885
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 1789 Issued in FL
Practice address
1315 S International Pkwy Ste 1111
Lake Mary, FL 32746-1407
Phone
(407) 206-3755
Fax
(407) 206-3762
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 1789 FL
Physician Assistant 363A00000X PA 1789 FL Primary

Addresses

Primary practice location

1315 S International Pkwy Ste 1111
Lake Mary, FL 32746-1407

Mailing address

7460 Docs Grove Cir
Orlando, FL 32819-8010
Phone (407) 903-9360

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
600TNMDMarriage & Family Therapist
PA 1789FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Spine Disorders LLC Past Accepting new patients
Southeastern Pain Management Center, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.piotrowski.1@11845.direct.athenahealth.com

Organizations & group practices 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1124031885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 DOCS GROVE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198010",
            "telephone_number": "407-903-9360",
            "fax_number": "407-903-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S INTERNATIONAL PKWY STE 1111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461407",
            "telephone_number": "407-206-3755",
            "fax_number": "407-206-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOTROWSKI",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "PAC-MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 1789",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 1789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.