Active NPI
Roderick M Urbaniak, M.D., P.a.
- Plastic Surgery Physician
- Clearwater, FL
National Provider Identifier
1942640719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 4301083724
- Legal business name
- RODERICK M URBANIAK, M.D., P.A.
- Practice address
- 609 Lakeview Rd
Clearwater, FL 33756-3335 - Phone
- (727) 447-4536
- Fax
- (727) 442-1600
- NPI assigned
- Jun 26, 2013
- Last updated
- Jun 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ginger Lynn Wiersma, 6162184495
- Title
- Office Manager
- Phone
- (616) 218-4495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4301083724 | MI | Primary |
Addresses
Primary practice location
609 Lakeview Rd
Clearwater, FL 33756-3335
Mailing address
609 Lakeview Rd
Clearwater, FL 33756-3335
Phone (727) 447-4536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13201 Walsingham Rd
Ste 200
Largo, FL 33774
Phone (727) 261-1754
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery of the Hand (Plastic Surgery) Physician
- Dunedin, FL
- NPI 1497109847
Single Specialty
-
- Plastic and Reconstructive Surgery Physician
- Tampa, FL
- NPI 1730684341
Plastic Surgery
-
- Plastic and Reconstructive Surgery Physician
- Largo, FL
- NPI 1720291792
Plastic Surgery
-
- Surgical Physician Assistant
- Largo, FL
- NPI 1518929207
-
- Family Medicine Physician
- Largo, FL
- NPI 1124448014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372204800000",
"number": "1942640719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 LAKEVIEW RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563335",
"telephone_number": "727-447-4536",
"fax_number": "727-442-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 LAKEVIEW RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563335",
"telephone_number": "727-447-4536",
"fax_number": "727-442-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODERICK M URBANIAK, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A",
"authorized_official_last_name": "WIERSMA",
"authorized_official_first_name": "GINGER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "616-218-4495",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "6162184495"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MI",
"license": "4301083724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.