GERALD A NIEDZWIECKI MD PA
NPI 1639318637
Radiology - Vascular & Interventional Radiology in Clearwater, FL

Active since February 13, 2009
2730 N MCMULLEN BOOTH RD, SUITE 203, CLEARWATER, FL 33761(727) 286-8929(727) 286-8933 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald A Niedzwiecki Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD A NIEDZWIECKI MD PA (NPI 1639318637) is a healthcare organization registered as a vascular & interventional radiology in Clearwater, Florida and active in the NPI registry since February 2009. The organization lists Gerald Anthony Niedzwiecki, President/shareholder, as its authorized official.

NPPES Registry Identity

NPI1639318637
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameGERALD A NIEDZWIECKI MD PA
Location Address2730 N MCMULLEN BOOTH RD, SUITE 203Clearwater, FL 33761-3302
Mailing Address2730 N Mcmullen Booth Rd, Suite 100Clearwater, FL 33761-3302 · (727) 791-7300 · Fax (727) 723-9010
Fax(727) 286-8933
Organization SubpartNo
Authorized OfficialGerald Anthony NiedzwieckiPresident/shareholder · (727) 791-7300
Enumeration DateFebruary 13, 2009
Last NPPES UpdateMay 29, 2015
NPI 1639318637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in FL · ME0070649
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License ME81474 (FL)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License ME0070649 (FL), ME81474 (FL)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License ME0070649 (FL)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PAT9104325 (FL)
2730 N MCMULLEN BOOTH RD, Clearwater, FL 33761

Other Identifiers 10

Other203364FL · Avmed
Other220039FL · Amerigroup
Other300123717FL · Railroad Medicare
Other31439FL · Bcbs
Medicare UPINF99793FL
Medicaid250195300FL
Other1600774FL · United Healthcare
Other2648373FL · Aetna Hmo
Other4593565FL · Aetna Ppo
Medicare PIN31439AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
2730 N MCMULLEN BOOTH RD, STE 202
CLEARWATER, FL 33761
Internal Medicine
2730 N MCMULLEN BOOTH RD, 201
CLEARWATER, FL 33761
Anesthesiology
2730 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Radiology (Vascular & Interventional Radiology)
2730 N MCMULLEN BOOTH RD, SUITE 100
CLEARWATER, FL 33761
Physical Therapist (Orthopedic)
2730 N MCMULLEN BOOTH RD, 202
CLEARWATER, FL 33761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald A Niedzwiecki MD PA's NPI number?

The NPI number for Gerald A Niedzwiecki MD PA is 1639318637. It was assigned to this organization in the NPPES registry on February 13, 2009.

Where is Gerald A Niedzwiecki MD PA located?

Gerald A Niedzwiecki MD PA is located at 2730 N Mcmullen Booth Rd Suite 203, Clearwater, FL 33761. The listed phone number is (727) 286-8929.

What is Gerald A Niedzwiecki MD PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

What insurance does Gerald A Niedzwiecki MD PA accept?

Health plans from AvMed list Gerald A Niedzwiecki MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerald A Niedzwiecki MD PA was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.