James Pruchniewski DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 1910 Issued in FL

Legal business name

JAMES PRUCHNIEWSKI DPM PA

Practice address

4973 US Highway 98 N
Lakeland, FL 33809-3657

Phone

(863) 859-4434

Fax

(863) 859-7461

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Pruchniewski, DPMNPI 1386758134

Title

President

Phone

(863) 859-4434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James F Pruchniewski, DPM

  • Podiatrist
  • Lakeland, FL
  • NPI 1386758134
  Authorized official Same address or phone

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1134438948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4973 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093657",
            "telephone_number": "863-859-4434",
            "fax_number": "863-859-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4973 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093657",
            "telephone_number": "863-859-4434",
            "fax_number": "863-859-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PRUCHNIEWSKI DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "PRUCHNIEWSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-859-4434",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 1910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041061600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grazyna Apolonia Jakubicz, MD
• Sara Ann Jakubowski, CNA
• Maha A Jalab, MD
• Alexis Jalovec, PHARMD
• James H Johnson M D P a
• James Pruchniewski DPM PA
• James R. Summers O.D., P.a.
• Antonio Monroe James
• Archa James
• Ashley James, DO

• Foot & Ankle Surgery Podiatrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.