Individual provider Active NPI

Ginger Lynn Urbaniak, M.D.

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1124448014
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126575 Issued in FL
Practice address
13201 Walsingham Rd Ste 200
Largo, FL 33774-3515
Phone
(727) 447-4536
Fax
(727) 442-1600
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME126575 FL Primary

Addresses

Primary practice location

13201 Walsingham Rd Ste 200
Largo, FL 33774-3515

Mailing address

2111 Drew St Ste 200
Clearwater, FL 33765-3215
Phone (727) 447-4536

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roderick M Urbaniak, M.D., P.a. Current Accepting new patients
Premier Surgical Suites, LLC CurrentSince Jun 8, 2023 Accepting new patients

Locations

609 Lakeview Rd
Clearwater, FL 33756
Phone (727) 447-4536

13201 Walsingham Rd
Ste 200
Largo, FL 33774
Phone (727) 261-1754

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1124448014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 DREW ST STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653215",
            "telephone_number": "727-447-4536",
            "fax_number": "727-442-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 WALSINGHAM RD STE 200",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743515",
            "telephone_number": "727-447-4536",
            "fax_number": "727-442-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANIAK",
        "first_name": "GINGER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.