Ann Susan Wojtalik

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01050091A Issued in IN

Practice address

2855 N Keystone Ave
100
Indianapolis, IN 46218-2789

Phone

(317) 920-5760

Fax

(317) 920-5768

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ann.wojtalik@hn.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1033313325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N KEYSTONE AVE",
            "address_2": "100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462182789",
            "telephone_number": "317-920-5760",
            "fax_number": "317-920-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTALIK",
        "first_name": "ANN",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01050091A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200320740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitch H Wohlmuth, DDS MS
• Madelaine M Wohlreich, M.D.
• Alicia Helene Wojciechowski, PHARMD
• Joanne M Wojcieszek, MD
• Andrea Lynn Wojdyla, CRNA
• Kelly Woker, MSN, RN, AGCNS-BC
• Jessica N Wolanin, R.D.
• Matthew Walter Wolenski, M.D.
• Anthony Charles Wolf, DC
• Blair Matthew Wolf, M.A., CCC-SLP

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.