Individual provider Active NPI

Gerald E Stopczynski, D.O.

  • Emergency Medicine Physician
  • Sunrise, FL
National Provider Identifier
1528025780
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
009505 Issued in MI
Practice address
3226 NW 123Rd Ave
Sunrise, FL 33323-3022
Phone
(954) 229-0926
Fax
(954) 572-0298
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS3583 FL
Family Medicine Physician 207Q00000X OS3583 FL
Family Medicine Physician 207Q00000X 009505 MI
Emergency Medicine Physician 207P00000X 009505 MI Primary

Addresses

Primary practice location

3226 NW 123Rd Ave
Sunrise, FL 33323-3022

Mailing address

3226 NW 123Rd Ave
Sunrise, FL 33323-3022
Phone (954) 229-0926

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23687GAMDPharmacist
009505MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smith of Georgia, LLC Past Accepting new patients
Sterling Emergency Services of Michigan, Inc. Emergency Medicine Past Accepting new patients
Southeast Volusia Medical Services Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1528025780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 NW 123RD AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233022",
            "telephone_number": "954-229-0926",
            "fax_number": "954-572-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 NW 123RD AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233022",
            "telephone_number": "954-229-0926",
            "fax_number": "954-572-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPCZYNSKI",
        "first_name": "GERALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS3583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "009505",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "009505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.