DR. DANIEL L WIERNIK (NPI# 1275504110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275504110 |
| Entity Type | Individual |
| Full Name | DR. DANIEL L WIERNIK |
| Credential | DPM |
| Practice Address |
25 W Crystal Lake St Suite 200 Orlando FL 32806-4475 |
| Practice Telephone | 4072542500 |
| Practice Fax Number | 4072542557 |
| Mailing Telephone | 4072542500 |
| Mailing Fax Number | 4072542557 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
PO2845 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340090500 | 05 |
| Street Address |
25 W CRYSTAL LAKE ST SUITE 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483980 | Jeffrey Peter Rosen | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
| 1144830860 | Ramona Melissa Sweat | Physical Therapy Assistant | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-08-06 |
| 1184242943 | Carlomario Arrascue | Specialist/Technologist | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-07-08 |
| 1003438458 | Francesca Marie Lavezzoli-nelson | Specialist/Technologist | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-05-08 |
| 1326519067 | Paul Graham Jr. | Physical Therapy Assistant | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2018-12-06 |
| 1740739895 | Zachary A Rogan | Physician Assistant | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2016-09-30 |
| 1942668181 | Sarah Baller | Specialist/Technologist | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2016-02-02 |
| 1821461542 | Andrew Beverly | Physician Assistant | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2015-11-03 |
| 1437575875 | Audra Jourdan | Specialist/Technologist | 25 W Crystal Lake St, #200, Orlando, FL 32806-4475 | 2014-03-10 |
| 1972946515 | Sarah R Earleywine | Specialist/Technologist | 25 W Crystal Lake St, #200, Orlando, FL 32806-4475 | 2013-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891220828 | Hill Orthopedic Center LLC | Orthopaedic Surgery | 540 S Chickasaw Trl, Orlando, FL 32825-7804 | 2017-04-27 |
| 1023089869 | Joseph D Funk | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1679511174 | Sophia Esther Deben | Orthopaedic Surgery | 20601 E. Dixie Hwy, Orthopaedic Specialists of Miami Beach, Aventura, FL 33180 | 2006-06-04 |
| 1427005081 | Thomas E Odmark | Orthopaedic Surgery | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2006-05-28 |
| 1740244243 | Mark S Mizel | Orthopaedic Surgery | 1121 Crandon Blvd Apt F403, Key Biscayne, FL 33149-2779 | 2006-04-13 |
| 1346217635 | Kevin B Newfield | Orthopaedic Surgery | 103 Coco Plum Dr, Marathon, FL 33050-4016 | 2006-03-05 |
| 1124090501 | Stanley S Shama | Orthopaedic Surgery | 232 Bullard Pkwy, Temple Terrace, FL 33617-5512 | 2006-02-01 |
| 1255330288 | Myles Rubin Samotin | Orthopaedic Surgery | 870 111th Ave N, Naples, FL 34108-1869 | 2005-07-20 |
| 1669478038 | Pierre Girard | Orthopaedic Surgery | 621 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5141 | 2005-06-22 |
| 1316507239 | Wigley Feet | Orthopaedic Surgery | 1595 Ne 163rd St, North Miami Beach, FL 33162-4717 | 2019-06-13 |
| 1104366939 | Nchmd Inc | Orthopaedic Surgery | 1285 Creekside Blvd E Unit 102, Naples, FL 34109-0595 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.