MRS. JOANNA BETH WISOTSKY PA NPI 1003096934

NPI Information

NPI: 1003096934
Provider Name: MRS. JOANNA BETH WISOTSKY, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
7809 SARDIS RD
CHARLOTTE, NC
ZIP 28270
Phone: (704) 364-4000
Get Directions

MRS. Joanna Beth Wisotsky, PA is a medical physician assistant in Charlotte, NC with 24 years of experience. MRS. Joanna Beth Wisotsky, PA NPI is 1003096934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7809 SARDIS RD
CHARLOTTE, NC
ZIP 28270-757
Phone: (704) 364-4000
Fax: (704) 364-4005

The NPI 1003096934 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 11/8/2007 and was last updated on 6/3/2015.

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	363A00000X	Physician Assistant			NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	001000939	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	Other Provider Identifier Issuer
1	W72384	MEDICARE UPIN	NORTH CAROLINA
2	Q50069	MEDICARE UPIN	NORTH CAROLINA

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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