Provider Type Icon

DR. JEFFREY ROBERT WESOLOWSKI MD MHSA NPI 1962474163


NPI Information

NPI: 1962474163
Provider Name: DR. JEFFREY ROBERT WESOLOWSKI, MD, MHSA
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4566
Get Directions

DR. Jeffrey Robert Wesolowski, MD, MHSA is a diagnostic radiology radiology in Ann Arbor, MI with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jeffrey Robert Wesolowski, MD, MHSA NPI is 1962474163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
ZIP 48109-030
Phone: (734) 936-4566

The NPI 1962474163 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 2/2/2006 and was last updated on 6/29/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology4301089073MICHIGANNo
22085N0700XRadiologyNeuroradiologyMD60703635WASHINGTONNo
32085N0700XRadiologyNeuroradiologyMD180766OREGONNo
42085R0202XRadiologyDiagnostic RadiologyD0063047MARYLANDNo
52085R0202XRadiologyDiagnostic Radiology4301089073MICHIGANNo
62085R0202XRadiologyDiagnostic RadiologyMD180766OREGONNo
72085R0202XRadiologyDiagnostic RadiologyMD60703635WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017355A00MEDICARE ID-TYPE UNSPECIFIEDMARYLANDLOCALITY/JURIS. CODE 99
2407969800MEDICAIDMARYLAND
3435LL659MEDICARE ID-TYPE UNSPECIFIEDMARYLANDLOCALITY/JURIS. CODE 02
4KA80OTHERMARYLANDB/C B/S
5DD4343MEDICARE ID-TYPE UNSPECIFIEDDELAWARERAILROAD MEDICARE
6CD4495MEDICARE ID-TYPE UNSPECIFIEDMARYLANDRAILROAD MEDICARE
7CN2566MEDICARE ID-TYPE UNSPECIFIEDMARYLANDRAILROAD MEDICARE
82849OTHERMARYLANDB/C B/S
9H94209MEDICARE UPINMARYLAND
10017983A20MEDICARE ID-TYPE UNSPECIFIEDDELAWARELOCALITY/JURIS. 02 DC/DE
11H94209MEDICARE UPINMICHIGAN
12J062OTHERMARYLANDB/C B/S
13434LL658MEDICARE ID-TYPE UNSPECIFIEDMARYLANDLOCALITY/JURIS. CODE 01

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.