Healthcare Provider Details

I. General information

NPI: 1467621599
Provider Name (Legal Business Name): JAMES ROBERT PIORKOWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4012 N 9TH AVE
PENSACOLA FL
32503-2824
US

IV. Provider business mailing address

1040 GULF BREEZE PKWY STE 200
GULF BREEZE FL
32561-7808
US

V. Phone/Fax

Practice location:
  • Phone: 850-807-4200
  • Fax: 850-916-8499
Mailing address:
  • Phone: 850-916-3700
  • Fax: 850-916-3710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2019702
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number2019702
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number28641
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number28641
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME137442
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: