Active NPI
David J Schulak, M.D.
- Orthopaedic Surgery Physician
- Tampa, FL
National Provider Identifier
1376531038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0033022
- Practice address
- 13701 Bruce B Downs Blvd
Suite #115
Tampa, FL 33613-4647 - Phone
- (813) 977-4767
- Fax
- (813) 977-6275
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0033022 | FL | Primary |
Addresses
Primary practice location
13701 Bruce B Downs Blvd
Suite #115
Tampa, FL 33613-4647
Mailing address
13701 Bruce B Downs Blvd
Suite #115
Tampa, FL 33613-4647
Phone (813) 977-4767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30240 | Other | FL | BCBS # |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033022 | FL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376531038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13701 BRUCE B DOWNS BLVD",
"address_2": "SUITE #115",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134647",
"telephone_number": "813-977-4767",
"fax_number": "813-977-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 BRUCE B DOWNS BLVD",
"address_2": "SUITE #115",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134647",
"telephone_number": "813-977-4767",
"fax_number": "813-977-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULAK",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "0033022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "30240",
"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 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.