Organization Active NPI

CK Med Consulting LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tampa, FL
National Provider Identifier
1851118970
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
CK MED CONSULTING LLC
Practice address
1000 W Kennedy Blvd # 202
Tampa, FL 33606-1940
Phone
(813) 588-5150
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Christopher R Kieliszak, DONPI 1346508421
Title
Doctor
Phone
(813) 434-3238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

1000 W Kennedy Blvd # 202
Tampa, FL 33606-1940

Mailing address

700 S Harbour Island Blvd Unit 137
Tampa, FL 33602-5727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203002545 FL Part B Supplier - Clinic/Group Practice 7315472198 Receives reassigned benefits from 1 practitioner
Practice locations: Safety Harbor, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

801 2nd St N
Ste D
Safety Harbor, FL 34695
Phone (813) 434-3238

1000 W Kennedy Blvd
Unit 202
Tampa, FL 33606
Phone (813) 434-3238

1000 W Kennedy Blvd
#202
Tampa, FL 33606
Phone (406) 848-4391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1851118970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HARBOUR ISLAND BLVD UNIT 137",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KENNEDY BLVD # 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061940",
            "telephone_number": "813-588-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK MED CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "KIELISZAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-434-3238",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.