Active NPI
Joshua E Kolanko, C-FNP
- Nurse Practitioner
- Odessa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARPR9328710
- Practice address
- 16025 Muirfield Dr
Odessa, FL 33556-2861 - Phone
- (813) 226-3332
- Fax
- (813) 793-7644
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MK1233357 | WV | |
| Nurse Practitioner | 363L00000X | ARPR9328710 | FL | Primary |
Addresses
Primary practice location
16025 Muirfield Dr
Odessa, FL 33556-2861
Mailing address
PO Box 22
Odessa, FL 33556-0022
Phone (813) 226-3332
Other practice location 1
17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (352) 796-5111
Other practice location 2
16025 Muirfield Dr
Odessa, FL 33556-2861
Phone (304) 794-9088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008481300 | Medicaid | FL | |
| Y048RQ | Other | FL | MEDICARE |
| 3810002050 | Medicaid | WV |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MK1233357 | WV | MD | Family Medicine Physician |
| ARPR9328710 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Continuum Medical Solutions, LLC | Current | Accepting new patients | |
| Adventist Health System Sunbelt, Inc. | Family Medicine | Current | Accepting new patients |
| Lake Wales Emergency Physicians, LLC | Nurse Practitioner | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Family Medicine | Current | Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Family Medicine | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Family Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Nurse Practitioner | Current | Accepting new patients |
| W4P LLC | Current | Accepting new patients | |
| Quality Drive Emergency Physicians LLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Brooke County, PLLC | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362
6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671
410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- jkolanko296116@direct.tgh.org
Organizations & group practices 12
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.
-
- Primary Care Clinic/Center
- Odessa, FL
- NPI 1770239162
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
Family Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Crystal River, FL
- NPI 1003464033
-
- Emergency Medicine Physician
- Lake Wales, FL
- NPI 1033480405
Nurse Practitioner
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
Family Medicine
-
- Emergency Medicine Physician
- Spring Hill, FL
- NPI 1689116618
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Family Medicine
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Family Medicine
-
- Emergency Medicine Physician
- Spring Hill, FL
- NPI 1093998833
-
- Emergency Medicine Physician
- Weirton, WV
- NPI 1467491332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1821086745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22",
"city": "ODESSA",
"state": "FL",
"postal_code": "335560022",
"telephone_number": "813-226-3332",
"fax_number": "813-793-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16025 MUIRFIELD DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562861",
"telephone_number": "813-226-3332",
"fax_number": "813-793-7644"
}
],
"practiceLocations": [
{
"address_1": "17240 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346018921",
"country_code": "US",
"telephone_number": "352-796-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16025 Muirfield Dr",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "FL",
"postal_code": "335562861",
"country_code": "US",
"telephone_number": "304-794-9088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLANKO",
"first_name": "JOSHUA",
"middle_name": "E",
"credential": "C-FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2022-02-24",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "MK1233357",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARPR9328710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008481300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Y048RQ",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810002050",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.