John J Janick, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0027204 Issued in FL

Practice address

1649 Tamiami TRL Unit 1C
Port Charlotte, FL 33948-1019

Phone

(941) 629-3366

Fax

(941) 629-6999

NPI assigned

Jul 17, 2006

Last updated

Dec 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1538186127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL UNIT 1C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-629-3366",
            "fax_number": "941-629-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 TAMIAMI TRL UNIT 1C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481019",
            "telephone_number": "941-629-3366",
            "fax_number": "941-629-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICK",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0027204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.