Individual provider Active NPI

Elwira Ewa Kulawik, D.C.

  • Chiropractor
  • Venice, FL
National Provider Identifier
1659415321
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10483 Issued in FL
Practice address
1790 E Venice Ave
Suite 102
Venice, FL 34292-3191
Phone
(941) 486-8126
Fax
(941) 412-3599
NPI assigned
Feb 16, 2007
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10483 FL Primary

Addresses

Primary practice location

1790 E Venice Ave
Suite 102
Venice, FL 34292-3191

Mailing address

1790 E Venice Ave
Suite 102
Venice, FL 34292-3191
Phone (941) 486-8126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000036 FL Practitioner - Chiropractic 0749370070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1939 Tamiami TRL S
Suite B
Venice, FL 34293-5004
Phone (941) 412-4229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10483FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Option Chiropractic LLC Chiropractor CurrentSince Aug 14, 2015 Accepting new patients
Delvin F. Gomez, D.C. Chiropractor Past Accepting new patients
Renee M. Mooney DC PC Chiropractor Past Accepting new patients

Locations

903 25th Dr E
Ellenton, FL 34222
Phone (941) 412-4229

1790 E Venice Ave
Ste 102
Venice, FL 34292
Phone (941) 486-8126

1939 S Tamiami Trl
Ste B
Venice, FL 34293
Phone (941) 412-4229

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1659415321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE",
            "address_2": "SUITE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-486-8126",
            "fax_number": "941-412-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE",
            "address_2": "SUITE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-486-8126",
            "fax_number": "941-412-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAWIK",
        "first_name": "ELWIRA",
        "middle_name": "EWA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.