Individual provider Active NPI

Stanley Janasiewicz

  • Emergency Medicine Physician
  • Lake City, FL
National Provider Identifier
1447352216
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME55302 Issued in FL
Practice address
340 NW Commerce Dr
Emergency Department
Lake City, FL 32055-4709
Phone
(954) 693-0000
Fax
(954) 693-0005
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME55302 FL Primary

Addresses

Primary practice location

340 NW Commerce Dr
Emergency Department
Lake City, FL 32055-4709

Mailing address

861 SW 78TH Ave
Suite #100B
Plantation, FL 33324-3273
Phone (954) 693-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Shands at Lake Shore Inc Past Accepting new patients
Cajina Anesthesia, PA Past Accepting new patients
Florida Clinical Practice Association Inc Past Accepting new patients
Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447352216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SW 78TH AVE",
            "address_2": "SUITE #100B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243273",
            "telephone_number": "954-693-0000",
            "fax_number": "954-693-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW COMMERCE DR",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554709",
            "telephone_number": "954-693-0000",
            "fax_number": "954-693-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANASIEWICZ",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME55302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.