Michael D Staniec M.D. P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

10600 Issued in AZ

Legal business name

MICHAEL D STANIEC M.D. P.C.

Practice address

5601 W Eugie Ave Ste 203
Glendale, AZ 85304-1258

Phone

(602) 548-1600

Fax

(602) 548-2470

NPI assigned

Sep 12, 2010

Last updated

Sep 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Douglas Staniec, M.D.NPI 1497771471

Title

President

Phone

(602) 548-1600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Douglas Staniec, M.D.

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1497771471
  Authorized official Same address or phone

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284249600000",
    "number": "1386951374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W EUGIE AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041258",
            "telephone_number": "602-548-1600",
            "fax_number": "602-548-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W EUGIE AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041258",
            "telephone_number": "602-548-1600",
            "fax_number": "602-548-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D STANIEC M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A",
        "authorized_official_last_name": "STANIEC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-548-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "10600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Micek, P.T.
• Michael a Castillo MD PC
• Michael a Castillo MD, PC
• Michael a Mower, DDS, PC (Heatherwood Dental)
• Michael Bryan, MD Facog PLLC
• Michael F Esber
• Michael Forbes Warden PHD PLLC
• Michael James Gengle DDS LLC
• Michael L Berger OD PC
• Michael L Kravetz, MD, PLC

• Primary Care Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.