Individual provider Active NPI

Joseph Mark Ciszewski, D.O.

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1366937856
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS17776 Issued in FL
Practice address
36440 US Highway 19 N
Palm Harbor, FL 34684-1330
Phone
(727) 786-0696
Fax
(727) 669-9742
NPI assigned
Jun 27, 2018
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS17776 FL Primary

Addresses

Primary practice location

36440 US Highway 19 N
Palm Harbor, FL 34684-1330

Mailing address

3251 N McMullen Booth Rd Ste 303
Clearwater, FL 33761-2022
Phone (727) 725-6110

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210611000037 FL Practitioner - Internal Medicine 4981956893 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17776FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman & Hampsey Medical Clinic, Inc CurrentSince Jul 1, 2016 Accepting new patients
Pathways Clinical Partners, LLC CurrentSince Jan 10, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Jul 1, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Apr 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Apr 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Professional Health Care of Pinellas LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Visiting Nurse Services of Central Florida LLC CurrentSince Nov 18, 2025 Accepting new patients
QMC LLC Past Accepting new patients
Bowman & Hampsey Mdspa Internal Medicine Past Accepting new patients
Susan Baldi DO PA PastSince Apr 1, 2026 Accepting new patients

Locations

3251 N McMullen Booth Rd
Ste 303
Clearwater, FL 33761
Phone (727) 725-6110

855 S Highland Ave
Clearwater, FL 33756
Phone (727) 219-1833

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

36440 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 786-0696

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1366937856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 303",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-725-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36440 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841330",
            "telephone_number": "727-786-0696",
            "fax_number": "727-669-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISZEWSKI",
        "first_name": "JOSEPH",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS17776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.