Colleen Niedzwiecki, MD, PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME68554 Issued in FL

Legal business name

COLLEEN NIEDZWIECKI, MD, PA

Practice address

2730 N McMullen Booth Rd
Clearwater, FL 33761-3302

Phone

(727) 791-7300

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Niedzwiecki, MDNPI 1518050756

Title

President

Phone

(727) 902-6116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Niedzwiecki, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1518050756
  Medicare reassignment NPD Authorized official
• Gerald A Niedzwiecki, MD

  • Vascular & Interventional Radiology Physician
  • Clearwater, FL
  • NPI 1578632147
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1528344157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 AYRON TER",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346854012",
            "telephone_number": "727-902-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613302",
            "telephone_number": "727-791-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN NIEDZWIECKI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "NIEDZWIECKI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-902-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME68554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Coley, CRNA
• Leslie S Coley, CERTIFIED HAIR LOSS
• Mary Beth Coll, CRNA
• Frances Collado, CRNA
• Laura Collazo Lopez, BCBA
• Dennis L College, M.D.
• Robert Collewijn, PT
• Colliers at Countryside Opco, LLC
• Abbey Swan Collins
• Eddie Lee Collins Jr., LMHC

• Anesthesiology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.