Organization Active NPI

Joel S. Wolinsky, M.D., P.a.

  • Specialist
  • Weatherford, TX
National Provider Identifier
1073928354
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K1135 Issued in TX
Legal business name
JOEL S. WOLINSKY, M.D., P.A.
Practice address
108 Joshua Rd
Weatherford, TX 76087-6036
Phone
(281) 265-1776
Fax
(239) 215-0065
NPI assigned
Jun 25, 2014
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Dr. Joel Scott Wolinsky, M.D.NPI 1225227499
Title
President
Phone
(281) 265-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K1135 TX Primary

Addresses

Primary practice location

108 Joshua Rd
Weatherford, TX 76087-6036

Mailing address

PO Box 62428
Fort Myers, FL 33906-2428
Phone (281) 265-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140718000125 TX Part B Supplier - Clinic/Group Practice 0648496141 Receives reassigned benefits from 1 practitioner
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory

Locations

136 Eldridge Rd
Ste A
Sugar Land, TX 77478
Phone (281) 265-1776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1073928354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62428",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339062428",
            "telephone_number": "281-265-1776",
            "fax_number": "239-215-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 JOSHUA RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760876036",
            "telephone_number": "281-265-1776",
            "fax_number": "239-215-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL S. WOLINSKY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WOLINSKY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-265-1776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.