Active NPI
Michael a Wasylik MD PA
- Orthopaedic Surgery Physician
- Tampa, FL
National Provider Identifier
1306165162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME 0023025
- Legal business name
- MICHAEL A WASYLIK MD PA
- Practice address
- 2919 W Swann Ave
Suite 201
Tampa, FL 33609-4038 - Phone
- (813) 877-9413
- Fax
- (813) 876-0980
- NPI assigned
- May 19, 2010
- 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
- Dr. Michael A Wasylik, M.D.
- Title
- Orthopaedic Surgery
- Phone
- (813) 877-9413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME 0023025 | FL | Primary |
Addresses
Primary practice location
2919 W Swann Ave
Suite 201
Tampa, FL 33609-4038
Mailing address
2919 W Swann Ave
Suite 201
Tampa, FL 33609-4038
Phone (813) 877-9413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054037400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325721600000",
"number": "1306165162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094038",
"telephone_number": "813-877-9413",
"fax_number": "813-876-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094038",
"telephone_number": "813-877-9413",
"fax_number": "813-876-0980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A WASYLIK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-19",
"last_updated": "2012-01-05",
"status": "A",
"authorized_official_last_name": "WASYLIK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ORTHOPAEDIC SURGERY",
"authorized_official_telephone_number": "813-877-9413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME 0023025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054037400",
"state": "FL"
}
],
"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 Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.