MR. CHRISTIAN ANTHONY STANIEC PA-C NPI 1003871849

Physician Assistant in Melbourne, FL

About CHRISTIAN STANIEC

Christian Staniec is a provider in Melbourne, FL with more than 17 years of experience. The NPI number assigned to this provider is 1003871849. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 3 years ago. Christian Staniec is registered with Medicare and accepts claims assignment.

NPI1003871849 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. CHRISTIAN ANTHONY STANIEC PA-C
Provider Location Address6032 FARCENDA PL #102 MELBOURNE, FL 32940 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1515 W NASA BLVD SUITE 100 MELBOURNE, FL 32901 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-17-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-23-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. CHRISTIAN ANTHONY STANIEC PA-C
6032 FARCENDA PL
#102
MELBOURNE, FL
ZIP 32940
Phone: (321) 608-8160
Fax: (321) 622-6818
Get Directions

Mailing Address

MR. CHRISTIAN ANTHONY STANIEC PA-C
1515 W NASA BLVD
SUITE 100
MELBOURNE, FL
ZIP 32901
Phone: (321) 308-0659
Fax: (321) 309-2881

Primary Taxonomy

Taxonomy Code363A00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA9102247
License StateFL
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
U6107AMEDICARE ID-TYPE UNSPECIFIED (04)

Map Location


MR. CHRISTIAN ANTHONY STANIEC PA-C address is 6032 FARCENDA PL #102 MELBOURNE, FL 32940