Active NPI
Michael James Cichanowski
- Durable Medical Equipment & Medical Supplies
- Orlando, FL
National Provider Identifier
1861563389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3501-0006722
- Practice address
- 100 Winghurst Blvd
Orlando, FL 32828-8058 - Phone
- (407) 273-4235
- Fax
- (407) 273-4235
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3501-0006722 | FL | Primary |
Addresses
Primary practice location
100 Winghurst Blvd
Orlando, FL 32828-8058
Mailing address
100 Winghurst Blvd
Orlando, FL 32828-8058
Phone (407) 273-4235
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01763868 | Medicaid | NY | |
| 0440758 | Medicaid | MS | |
| 5445108 | Medicaid | NJ | |
| 7702075 | Medicaid | NC | |
| DME00C150 | Medicaid | TX | |
| DME1115 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501-0006722 | FL | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861563389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WINGHURST BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328288058",
"telephone_number": "407-273-4235",
"fax_number": "407-273-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WINGHURST BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328288058",
"telephone_number": "407-273-4235",
"fax_number": "407-273-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICHANOWSKI",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "3501-0006722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01763868",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440758",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5445108",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702075",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME00C150",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME1115",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.