Active NPI
Christina Burzynski Ewasko, M.D.
- Pediatrics Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME117847
- Practice address
- 92 W Miller St
Orlando, FL 32806-2032 - Phone
- (407) 649-9111
- Fax
- (954) 858-0404
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME117847 | FL | Primary |
Addresses
Primary practice location
92 W Miller St
Orlando, FL 32806-2032
Mailing address
1500 Concord Terrace
Sunrise, FL 33323-2823
Phone (800) 243-3839
Other names 1
- Christina Elizabeth Burzynski
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171024000568 | FL | Practitioner - Pediatric Medicine | 0941428577 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME117847 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Florida Inc | Current | Accepting new patients |
Locations
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607
12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909
1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
Organizations & group practices 1
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": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1447576434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CONCORD TERRACE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232823",
"telephone_number": "800-243-3839",
"fax_number": "954-858-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 W MILLER ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062032",
"telephone_number": "407-649-9111",
"fax_number": "954-858-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWASKO",
"first_name": "CHRISTINA",
"middle_name": "BURZYNSKI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME117847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "BURZYNSKI",
"middle_name": "ELIZABETH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.