Joseph S Wolyniak, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9600781 Issued in NC

Practice address

7004 Smith Corners Blvd
Suite a
Charlotte, NC 28269-3793

Phone

(704) 688-9650

Fax

(704) 688-9651

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22472/brand/1/csg/1/fhir/r4
• Direct secure messaging: josephwolyniak@imhi.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promed Healthcare, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1770615114
  Medicare reassignment NPD
• Promed Healthcare, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1750572368
  NPD

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1053390856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SMITH CORNERS BLVD",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693793",
            "telephone_number": "704-688-9650",
            "fax_number": "704-688-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SMITH CORNERS BLVD",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693793",
            "telephone_number": "704-688-9650",
            "fax_number": "704-688-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLYNIAK",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9600781",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "9600781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith W. Wolhar, RPH
• Robyn Michelle Wolkofsky, P.A.-C
• Nuku Wollor
• Natalie Wollstein, PHARMD
• Jennifer Lacey Wolski, PA-C
• Jennifer Downs Womack, MD
• Jacquelyn Sharp Womble, MS, RDN, LD, EP-C
• Women of Power Network
• Womens Transitional Healthcare PLLC
• Wonder Counseling PLLC

• General Practice Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.