Organization Active NPI

Internal Medicine of Fredericksburg

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1194743005
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101233578 Issued in VA
Legal business name
INTERNAL MEDICINE OF FREDERICKSBURG
Practice address
2216 Princess Anne St
Suite 107
Fredericksburg, VA 22401-3300
Phone
(540) 899-3410
Fax
(540) 899-3413
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Bozena Wolanska, M.D.
Title
Physician/Owner
Phone
(540) 899-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101233578 VA Primary

Addresses

Primary practice location

2216 Princess Anne St
Suite 107
Fredericksburg, VA 22401-3300

Mailing address

2216 Princess Anne St
Suite 107
Fredericksburg, VA 22401-3300
Phone (540) 899-3410

National Provider Directory

National Provider Directory

Locations

2216 Princess Anne St
Ste 107
Fredericksburg, VA 22401
Phone (540) 899-3410

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1194743005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "address_2": "SUITE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-899-3410",
            "fax_number": "540-899-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 PRINCESS ANNE ST",
            "address_2": "SUITE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013300",
            "telephone_number": "540-899-3410",
            "fax_number": "540-899-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF FREDERICKSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "WOLANSKA",
        "authorized_official_first_name": "BOZENA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-899-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101233578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.