Denise Kazmierczak, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS 9573 Issued in FL

Practice address

835 7TH St
Clermont, FL 34711-2156

Phone

(352) 241-4444

Fax

(352) 241-4245

NPI assigned

May 17, 2006

Last updated

Jan 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20322/brand/1/csg/1/fhir/r4

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

• Alliance Obstetrics & Gynecology PA

  • Obstetrics & Gynecology Physician
  • Clermont, FL
  • NPI 1811940539
  NPD (past) Authorized official
• Bronson South Haven Hospital

  dba Bronson Medical Group

  • Family Medicine Physician
  • South Haven, MI
  • NPI 1174749170
  NPD (past)
• Bronson South Haven Hospital

  • General Acute Care Hospital
  • South Haven, MI
  • NPI 1346275856
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1528010485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120455",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120455",
            "telephone_number": "352-241-4444",
            "fax_number": "352-241-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112156",
            "telephone_number": "352-241-4444",
            "fax_number": "352-241-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIERCZAK",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS 9573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41263",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275020100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shovon Sayfaldin Kasem, D.M.D.
• Santosh Reddy Katta, PHARMD
• Rupinder Preet Kaur, M.D.
• Punita Kaveti, MD
• Stephanie Nicole Kay
• Deborah Keel
• Kimberley Leigh Ann Keel, NP-C
• Amber Nicole Keeling
• Colleen Ann Kelleher
• Tori T. Kelley, PH.D.

• Obstetrics & Gynecology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.