Active NPI
Gary Steven Janko, M.D.
- Vascular Surgery Physician
- Bay Pines, FL
National Provider Identifier
1407963101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME 34387
- Practice address
- Bay Pines VA Healthcare System
10000 Bay Pines Boulevard
Bay Pines, FL 33744 - Phone
- (941) 355-5117
- Fax
- (727) 319-1003
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME 34387 | FL | Primary |
Addresses
Primary practice location
Bay Pines VA Healthcare System
10000 Bay Pines Boulevard
Bay Pines, FL 33744
Mailing address
Bay Pines VA Healthcare System
PO Box 5005
Bay Pines, FL 33744
Phone (941) 355-5117
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 34387 | FL | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1407963101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAY PINES VA HEALTHCARE SYSTEM",
"address_2": "PO BOX 5005",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "941-355-5117",
"fax_number": "727-319-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAY PINES VA HEALTHCARE SYSTEM",
"address_2": "10000 BAY PINES BOULEVARD",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "941-355-5117",
"fax_number": "727-319-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKO",
"first_name": "GARY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME 34387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.