John Andrew Pfeilsticker, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME46226 Issued in FL

Practice address

6302 Manatee Ave W
Suite I-2
Bradenton, FL 34209-2377

Phone

(941) 747-2282

Fax

(941) 757-0656

NPI assigned

Aug 14, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Pittsburgh School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jack Pfeilsticker M D P a

  • Primary Care Clinic/Center
  • Bradenton, FL
  • NPI 1265573018
  Medicare reassignment NPD Authorized official
• Comprehensive Management Systems, Inc.

  dba Community Medical Clinic

  • Rural Health Clinic/Center
  • Bradenton, FL
  • NPI 1770505810
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Florida, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Winter Haven, FL
  • NPI 1982662276
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Blake Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation
• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1609889567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 MANATEE AVE W.",
            "address_2": "SUITE I-2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093851",
            "telephone_number": "941-747-2282",
            "fax_number": "941-792-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 MANATEE AVE W",
            "address_2": "SUITE I-2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092377",
            "telephone_number": "941-747-2282",
            "fax_number": "941-757-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEILSTICKER",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME46226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266225600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "K5861",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Thaddeus Petrosino, M.D.
• Bridget Pettigrew, RN
• Karen F Pettit, DDS
• Anthony Peverini, CRNA
• Catherine L Pezzella, APRN, FNP-C
• Duc Nam Pham
• Trish Pham, PHARM.D.
• Daniel Phan, PHARMD
• Philip S Rasulo MD PA
• Rachel Philip, DPM

• General Practice Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.