Walter J Szydlowski Jr MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME45152 Issued in FL

Legal business name

WALTER J SZYDLOWSKI JR MD PA

Practice address

11347 Cortez Blvd
Brooksville, FL 34613-5404

Phone

(352) 596-1600

Fax

(352) 596-4655

NPI assigned

Sep 14, 2009

Last updated

Jul 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter J Szydlowski Jr., MDNPI 1376614933

Title

Owner/ Practitioner

Phone

(352) 596-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Joseph Szydlowski Jr., MD

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1376614933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1568795144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11347 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135404",
            "telephone_number": "352-596-1600",
            "fax_number": "352-596-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11347 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135404",
            "telephone_number": "352-596-1600",
            "fax_number": "352-596-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J SZYDLOWSKI JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "SZYDLOWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PRACTITIONER",
        "authorized_official_telephone_number": "352-596-1600",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME45152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110011399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-3526)
• Wal-Mart Stores East, LP (Vision Center 30-1213)
• Walgreen Co (Walgreens #06540)
• Walgreen Co (Walgreens #07916)
• Jennifer Caitlyn Wallace, MD
• Elaine Virginia Wanker, PTA
• Thomas G Ward, D.O.
• Sharon Denise Warthen, PHD (C)
• Edward Joseph Waseleski Jr., DO
• Syvia E Washington, BS

• Internal Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.