Active NPI
Artur Wilkoszewski, MD
- Family Medicine Physician
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20527
- Practice address
- 1400 Main St
Conway, SC 29526-3567 - Phone
- (843) 248-6269
- Fax
- (843) 248-0535
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20527 | SC | Primary |
Addresses
Primary practice location
1400 Main St
Conway, SC 29526-3567
Mailing address
4416 Forest Dr
2ND Floor
Columbia, SC 29206-3104
Phone (803) 782-4278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T46643 | Medicaid | SC | |
| 04900536 | Other | ECFMG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4010 River Oaks Dr
Myrtle Beach, SC 29579-6615
Phone (843) 903-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20527 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Progressive Physical Therapy, P.a. | Past | Accepting new patients | |
| Progressive Phyiscal Therapy, PA | Past | Accepting new patients |
Locations
515 Saint James Ave
Goose Creek, SC 29445
Phone (843) 507-8925
4010 River Oaks Dr
Myrtle Beach, SC 29579
Phone (843) 903-7246
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
dba Progressive Physical Therapy Seven Oaks
- Physical Therapist
- Columbia, SC
- NPI 1487929105
-
- Physical Therapist
- Columbia, SC
- NPI 1093762718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215920616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 FOREST DR",
"address_2": "2ND FLOOR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292063104",
"telephone_number": "803-782-4278",
"fax_number": "803-782-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MAIN ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263567",
"telephone_number": "843-248-6269",
"fax_number": "843-248-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKOSZEWSKI",
"first_name": "ARTUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "20527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T46643",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG",
"identifier": "04900536",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.