Craig A. Kizewic, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS9297 Issued in FL

Practice address

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607

Phone

(727) 725-6008

Fax

(727) 725-6118

NPI assigned

Jun 8, 2006

Last updated

Dec 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Ohio University, College of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastline Emergency Physicians LLCGroup PAC ID 2466633821, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastline Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dunedin, FL
  • NPI 1891744769
  Medicare reassignment Care Compare group NPD
• Coastline Emergency Physicians LLC

  • Emergency Medicine Physician
  • Safety Harbor, FL
  • NPI 1487225827
  NPD
• Emergency Physicians Inc

  dba Emergency Resources Group

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1285686675
  NPD (past)
• Emergency Physicians Inc

  dba Emergency Resource Group

  • Emergency Medicine Physician
  • Brunswick, GA
  • NPI 1477001972
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
  • NPI 1104888536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trustees of Mease Hospital Inc

  dba Mease Countryside Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1184664930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 TROUT DR SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054146",
            "telephone_number": "727-612-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 MCMULLEN BOOTH RD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956607",
            "telephone_number": "727-725-6008",
            "fax_number": "727-725-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZEWIC",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS9297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272007800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha Sikandar Khan, D.O., M.P.H.
• Laura Dutke Kiley, LCSW
• Andrea Gabrielle King
• Meagan S King, LMHC
• Kingdom Counseling, LLC
• Esther L Klein, LCSW
• Lonnie T Klein, MD
• John Klonaris, MD
• Venkata N. Kollipara, M.D.
• Danielle Konrad, APRN-C

• Emergency Medicine Physician in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.