Andrzej Wartak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13679 Issued in MS

Practice address

850 Emergency Dr
West Point, MS 39773-9357

Phone

(662) 494-1870

Fax

(662) 494-0002

NPI assigned

Apr 25, 2006

Sex

Male

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

Practice roles

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

• Surgery Clinic of Columbus PLLC

  • Surgery Physician
  • Columbus, MS
  • NPI 1073736658
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1144286360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 EMERGENCY DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739357",
            "telephone_number": "662-494-1870",
            "fax_number": "662-494-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EMERGENCY DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739357",
            "telephone_number": "662-494-1870",
            "fax_number": "662-494-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTAK",
        "first_name": "ANDRZEJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114997",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-0115)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-0115)
• Aaliyah Walker
• Kenya Lashane Walker, LPC, NCC, BCTMH
• Erin Elizabeth Ward, FNP-C
• Byron Watson, MD
• Thomas Corey Watson, PT
• Waverly Care Home, LLC
• Julette Weaver Reese, MS
• Monique Renee Weeks, LMSW

• Internal Medicine Physician in West Point, MS
• Providers in West Point, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.