Active NPI
Robert Wozniak MD PA
- Endocrinology, Diabetes & Metabolism Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 21019
- Legal business name
- ROBERT WOZNIAK MD PA
- Practice address
- 410 S Herlong Ave
Suite 106
Rock Hill, SC 29732-8349 - Phone
- (803) 329-3899
- Fax
- (803) 329-4377
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Wozniak, MD
- Title
- President
- Phone
- (803) 329-3899
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 21019 | SC | Primary |
Addresses
Primary practice location
410 S Herlong Ave
Suite 106
Rock Hill, SC 29732-8349
Mailing address
410 S Herlong Ave
Suite 106
Rock Hill, SC 29732-8349
Phone (803) 329-3899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942282470 | Other | SC | NPI INDIVIDUAL |
| 210195 | Medicaid | SC |
Other names 1
- Lancaster Endocrinology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0965962 | Lancaster Endocrinology | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
16147 Lancaster Hwy
Ste 140
Charlotte, NC 28277
Phone (704) 208-4134
410 Herlong Ave S
Ste 106
Rock Hill, SC 29732
Phone (803) 329-3899
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rock Hill, SC
- NPI 1184998742
-
- Adult Health Nurse Practitioner
- Rock Hill, SC
- NPI 1528302916
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Mill, SC
- NPI 1568882009
-
- Obstetrics & Gynecology Physician
- Florence, SC
- NPI 1558355958
-
- Obstetrics & Gynecology Physician
- Pawleys Island, SC
- NPI 1841209681
-
- Obstetrics & Gynecology Physician
- Lancaster, SC
- NPI 1144213919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1255499950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S HERLONG AVE",
"address_2": "SUITE 106",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328349",
"telephone_number": "803-329-3899",
"fax_number": "803-329-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S HERLONG AVE",
"address_2": "SUITE 106",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297328349",
"telephone_number": "803-329-3899",
"fax_number": "803-329-4377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT WOZNIAK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "WOZNIAK",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-329-3899",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "21019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1942282470",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210195",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lancaster Endocrinology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.