Carol Blanca Czerwinski, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS17347 Issued in FL

Practice address

14100 58TH St N
Clearwater, FL 33760-9900

Phone

(727) 824-8181

NPI assigned

Jan 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carol Blanca Orzga Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Community Health Center of Pinellas Inc

  • Federally Qualified Health Center (FQHC)
  • Clearwater, FL
  • NPI 1467873315
  Medicare reassignment NPD
• Community Health Center of Pinellas Inc

  • Federally Qualified Health Center (FQHC)
  • St Petersburg, FL
  • NPI 1518998731
  NPD
• Community Health Centers of Pinellas Inc.

  • Pharmacy
  • Clearwater, FL
  • NPI 1467273383
  NPD
• Community Health Centers of Pinellas Inc.

  • Federally Qualified Health Center (FQHC)
  • Largo, FL
  • NPI 1255319976

  Pediatrics

  NPD (past)
• Aunt Martha'S Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chicago Heights, IL
  • NPI 1255778221
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1669743514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15858 SW Warfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Indiantown",
            "state": "FL",
            "postal_code": "349563513",
            "country_code": "US",
            "telephone_number": "772-597-3596",
            "fax_number": "772-597-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604111741",
            "country_code": "US",
            "telephone_number": "877-692-8686",
            "fax_number": "708-754-3973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZERWINSKI",
        "first_name": "CAROL",
        "middle_name": "BLANCA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "143620",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS17347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ORZGA",
            "middle_name": "BLANCA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Curtis, NP-C
• Custom-Eyes Inc
• Barrett Cuttino
• Season Renee Cyrus
• Lukasz Michael Czerwien, DC
• Ester NMN Czovek
• Kim Ellen D'Ambra, OTR
• Alexandria Marie D'Amico
• Catherine D'Anjou, APRN
• Albert Andrew D'Errico, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.