Richard N Jaskiewicz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01036479A Issued in IN

Practice address

619 S Marion Ave
Lake City, FL 32025-5808

Phone

(386) 755-3016

Fax

(386) 719-3622

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bluffton Health System LLC

  • Internal Medicine Physician
  • Bluffton, IN
  • NPI 1598783045
  NPD (past)
• Bluffton Physician Services LLC

  • Internal Medicine Physician
  • Bluffton, IN
  • NPI 1497153522
  NPD (past)
• Caylor Nickel Clinic, PC

  • Multi-Specialty Clinic/Center
  • Bluffton, IN
  • NPI 1669424784
  NPD (past)
• Emergency Medicine of Indiana

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1952356883
  NPD (past)
• Redimed Dekalb LLC

  • General Practice Physician
  • Auburn, IN
  • NPI 1669417457
  NPD (past)
• St. Joseph Health System, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Fort Wayne, IN
  • NPI 1538812946
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1902860943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-755-3016",
            "fax_number": "386-719-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-755-3016",
            "fax_number": "386-719-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKIEWICZ",
        "first_name": "RICHARD",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036479A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terries Jackson
• Susan Lorraine Jacobsen
• Rashad D James
• Stanley Janasiewicz
• Michael L Jarrell, DMD
• Jean-Felert Cadet MD, PA
• Marie Jean-Louis
• Jessica Jenkins
• Benjamin Bradley Jennings
• Tybresha Jennings

• Internal Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.