Individual provider Active NPI

Chester Joseph Janecki, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tampa, FL
National Provider Identifier
1194874560
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
58487 Issued in FL
Practice address
4221 N Himes Ave
Tampa, FL 33607-6229
Phone
(813) 237-3300
Fax
(813) 237-3308
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 58487 FL Primary

Addresses

Primary practice location

4221 N Himes Ave
Tampa, FL 33607-6229

Mailing address

8496 Bardmoor PL
Largo, FL 33777-1303
Phone (813) 237-3300

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
940FLMDAcupuncturist
58487FLMDSports Medicine (Orthopaedic Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194874560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8496 BARDMOOR PL",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771303",
            "telephone_number": "813-237-3300",
            "fax_number": "813-237-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076229",
            "telephone_number": "813-237-3300",
            "fax_number": "813-237-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANECKI",
        "first_name": "CHESTER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "58487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.