Individual provider Active NPI

Wieslawa Tlomak, MD

  • Forensic Pathology Physician
  • Milwaukee, WI
National Provider Identifier
1316593106
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
49497-20 Issued in WI
Practice address
933 W Highland Ave
Milwaukee, WI 53233-1445
Phone
(414) 223-1219
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X 49497-20 WI Primary

Addresses

Primary practice location

933 W Highland Ave
Milwaukee, WI 53233-1445

Mailing address

11639 N Saint James LN
Mequon, WI 53092-2853
Phone (414) 699-7009

Other identifiers 1

IdentifierTypeStateIssuer
49497-20OtherWIMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Milwaukee

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49497-20WIMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1316593106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11639 N SAINT JAMES LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922853",
            "telephone_number": "414-699-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 W HIGHLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331445",
            "telephone_number": "414-223-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLOMAK",
        "first_name": "WIESLAWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "WI",
            "license": "49497-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "49497-20",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Milwaukee",
            "affiliation": "N",
            "address_1": "933 W Highland Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532331445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.