Active NPI
Jolanta Sobotka-Czarnecki MD PLLC
- Rheumatology Physician
- Flint, MI
National Provider Identifier
1295901288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- JS060311
- Legal business name
- JOLANTA SOBOTKA-CZARNECKI MD PLLC
- Practice address
- G-5085 West Bristol Rd.
Flint, MI 48507-2922 - Phone
- (810) 230-2400
- Fax
- (810) 230-1616
- NPI assigned
- Apr 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Marie Sopko
- Title
- Office Manager
- Phone
- (810) 230-1790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | JS060311 | MI | Primary |
Addresses
Primary practice location
G-5085 West Bristol Rd.
Flint, MI 48507-2922
Mailing address
G-5085 West Bristol Rd
Flint, MI 48507-2922
Phone (810) 230-2400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102503161 | Other | MI | BLUE CROSS BLUE SHIELD |
| 5366501 | Other | MI | AETNA |
| C4922 | Other | MI | MCARE |
| P60832 | Other | MI | BLUE CARE NETWORK |
| 0989021 | Other | MI | HEALTH PLUS |
| G51998 | Other | MI | UPIN |
| 3360475 | Medicaid | MI |
Other names 1
- Jolanta Sobotka MD PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Flint, MI
- NPI 1952418410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427414400000",
"number": "1295901288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G-5085 WEST BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485072922",
"telephone_number": "810-230-2400",
"fax_number": "810-230-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G-5085 WEST BRISTOL RD.",
"city": "FLINT",
"state": "MI",
"postal_code": "485072922",
"telephone_number": "810-230-2400",
"fax_number": "810-230-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOLANTA SOBOTKA-CZARNECKI MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2015-03-27",
"status": "A",
"authorized_official_last_name": "SOPKO",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "810-230-1790"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "JS060311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1102503161",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5366501",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C4922",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P60832",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0989021",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G51998",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3360475",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jolanta Sobotka MD PLLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.