Jack Pfeilsticker M D P a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME46226 Issued in FL

Legal business name

JACK PFEILSTICKER M D P A

Practice address

4701 Manatee Ave W
Bradenton, FL 34209-3851

Phone

(941) 747-2282

Fax

(941) 757-0656

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Andrew Pfeilsticker, MDNPI 1609889567

Title

Owner

Phone

(941) 747-2282

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Andrew Pfeilsticker, M.D.

  • General Practice Physician
  • Bradenton, FL
  • NPI 1609889567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1265573018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093851",
            "telephone_number": "941-747-2282",
            "fax_number": "941-757-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093851",
            "telephone_number": "941-747-2282",
            "fax_number": "941-757-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK PFEILSTICKER M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "PFEILSTICKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-747-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME46226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266225600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Italian and Indian Adventures Inc
• Stacey Ives
• Ernesto Lazaro Izquierdo, M.D.
• Marloes Jaarsveld, RBT
• Dean Jaber, APRN
• Dorothy Jackson-Brown, RPH
• Ashley Kathleen Jackson, DNP, APRN, FNP-BC
• Cara Jackson, MOTR/L
• Colton Jackson, D.O.
• Jaih C Jackson, DDS, PA

• Primary Care Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.