Organization Active NPI

Shakuntala Janwadkar, MD, PA

  • Pediatrics Physician
  • Lake Mary, FL
National Provider Identifier
1821163635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0086339 Issued in FL
Legal business name
SHAKUNTALA JANWADKAR, MD, PA
Practice address
185 Waymont CT
Suite 111
Lake Mary, FL 32746-6700
Phone
(407) 328-7008
Fax
(407) 328-7524
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shakuntala Sandeep Janwadkar, M.D.
Title
Pediatrician
Phone
(407) 328-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0086339 FL Primary

Addresses

Primary practice location

185 Waymont CT
Suite 111
Lake Mary, FL 32746-6700

Mailing address

185 Waymont CT
Suite 111
Lake Mary, FL 32746-6700
Phone (407) 328-7008

Other names 1

  • Jan Care Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

185 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 328-7008

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821163635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WAYMONT CT",
            "address_2": "SUITE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466700",
            "telephone_number": "407-328-7008",
            "fax_number": "407-328-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WAYMONT CT",
            "address_2": "SUITE 111",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466700",
            "telephone_number": "407-328-7008",
            "fax_number": "407-328-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKUNTALA JANWADKAR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANWADKAR",
        "authorized_official_first_name": "SHAKUNTALA",
        "authorized_official_middle_name": "SANDEEP",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "407-328-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0086339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jan Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.