Organization Active NPI

Edward T. Wolanski MD PC

  • Obstetrics & Gynecology Physician
  • Charlottesville, VA
National Provider Identifier
1225193972
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101039930 Issued in VA
Legal business name
EDWARD T. WOLANSKI MD PC
Practice address
600 Peter Jefferson Pkwy Ste 300
Charlottesville, VA 22911-8837
Phone
(434) 293-9800
Fax
(434) 977-0088
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Edward T Wolanski, MDNPI 1578544953
Title
President
Phone
(434) 293-9800

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101039930 VA Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 300
Charlottesville, VA 22911-8837

Mailing address

600 Peter Jefferson Pkwy Ste 300
Charlottesville, VA 22911-8837
Phone (434) 293-9800

Other identifiers 1

IdentifierTypeStateIssuer
DG6598OtherVAMEDICARE RAILROAD GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100802000512 VA Part B Supplier - Clinic/Group Practice 9739212424 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

600 Peter Jefferson Pkwy
Ste 300
Charlottesvle, VA 22911
Phone (434) 293-9800

400 Locust Ave
Charlottesvle, VA 22902
Phone (434) 293-9800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14472/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1225193972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 300",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118837",
            "telephone_number": "434-293-9800",
            "fax_number": "434-977-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 300",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118837",
            "telephone_number": "434-293-9800",
            "fax_number": "434-977-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD T. WOLANSKI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "WOLANSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-293-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101039930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DG6598",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.