Individual provider Active NPI

Edward F Wolski, M.D.

  • Family Medicine Physician
  • Denton, TX
National Provider Identifier
1144239997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F7964 Issued in TX
Practice address
2436 S Interstate 35 E
Ste 336
Denton, TX 76205-4992
Phone
(940) 484-7000
Fax
(940) 484-7888
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F7964 TX Primary

Addresses

Primary practice location

2436 S Interstate 35 E
Ste 336
Denton, TX 76205-4992

Mailing address

2436 S Interstate 35 E
Ste 336
Denton, TX 76205-4992
Phone (940) 484-7000

Other identifiers 1

IdentifierTypeStateIssuer
8S0280OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
F7964TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South West Center Medical PA Family Medicine Current Accepting new patients

Locations

7125 Marvin D Love Fwy
Ste 107
Dallas, TX 75237
Phone (972) 572-5000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144239997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 S INTERSTATE 35 E",
            "address_2": "STE 336",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054992",
            "telephone_number": "940-484-7000",
            "fax_number": "940-484-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 S INTERSTATE 35 E",
            "address_2": "STE 336",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054992",
            "telephone_number": "940-484-7000",
            "fax_number": "940-484-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSKI",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8S0280",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.