Kim Marie Pogonowski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8616 Issued in FL

Practice address

2429 Alt. US 19 No
Palm Harbor, FL 34683

Phone

(727) 786-8991

Fax

(727) 784-1317

NPI assigned

Mar 8, 2006

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banacki Chiropractic Services IncGroup PAC ID 5799735122, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Banacki Chiropractic Services Inc

  • Neurology Chiropractor
  • Palm Harbor, FL
  • NPI 1891984001
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1942278981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 36TH ST SE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712613",
            "telephone_number": "727-786-8991",
            "fax_number": "727-784-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 ALT. US 19 NO",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-786-8991",
            "fax_number": "727-784-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGONOWSKI",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GR",
            "identifier": "74889",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381797100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall William Pittman Sr., PHARM D
• Platinum Healthcare Solutions LLC
• Sanford Norman Plevin, MD
• Elizabeth Dorothy Plonka, M.D.
• Luisa Podber, RPH
• Arthur Roy Polin, M.D.
• Polin, Rutledge, & Fischer, M.D., PA
• Robin Ann Polizzi
• Polmed PA
• Polomar Specialty Pharmacy LLC

• Chiropractor in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.