Patrick F Woloszyn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0068297 Issued in FL

Practice address

9128 220TH St
O Brien, FL 32071-3229

Phone

(386) 935-0288

NPI assigned

Jul 3, 2006

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haven Medical Group, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1407143316
  Medicare reassignment NPD
• Lafayette County Health Department-Dental Clinic

  • Public Health or Welfare Agency
  • Mayo, FL
  • NPI 1447268354
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1326078809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 220TH ST",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320713229",
            "telephone_number": "386-935-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 220TH ST",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320713229",
            "telephone_number": "386-935-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSZYN",
        "first_name": "PATRICK",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0068297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3785203",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27045",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Faith Rojas, FNP-C
• Rustic Roots Healthcare Inc
• Semper Health, LLC
• Emmanuel Suarez Martinez
• Tamara G. Whitenton, MS CCC-SLP

• Family Medicine Physician in O Brien, FL
• Providers in O Brien, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.