JOSEPH S WOLYNIAK DO NPI 1053390856

NPI Information

NPI: 1053390856
Provider Name: JOSEPH S WOLYNIAK, DO
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7004 SMITH CORNERS BLVD
SUITE A
CHARLOTTE, NC
ZIP 28269
Phone: (704) 688-9650
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Joseph S Wolyniak, DO is a general practice in Charlotte, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Joseph S Wolyniak, DO NPI is 1053390856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7004 SMITH CORNERS BLVD
SUITE A
CHARLOTTE, NC
ZIP 28269-793
Phone: (704) 688-9650
Fax: (704) 688-9651

The NPI 1053390856 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		9600781	NORTH CAROLINA	No
2	208D00000X	General Practice		9600781	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G28367	MEDICARE UPIN	NORTH CAROLINA
2	8989001	MEDICAID	NORTH CAROLINA
3	2224989A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
4	370021782	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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