Active NPI
Wendy Marie Szymanski, OPA-C
- Physician Assistant
- Willis, TX
National Provider Identifier
1326381997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OPA-C 1197
- Practice address
- 1100 Rock Creek Dr
Willis, TX 77378-2372 - Phone
- (936) 828-0937
- Fax
- (936) 273-2106
- NPI assigned
- Apr 2, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OPA-C 1197 | TX | Primary |
Addresses
Primary practice location
1100 Rock Creek Dr
Willis, TX 77378-2372
Mailing address
1100 Rock Creek Dr
Willis, TX 77378-2372
Phone (936) 828-0937
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPA-C 1197 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1326381997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ROCK CREEK DR",
"city": "WILLIS",
"state": "TX",
"postal_code": "773782372",
"telephone_number": "936-828-0937",
"fax_number": "936-273-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ROCK CREEK DR",
"city": "WILLIS",
"state": "TX",
"postal_code": "773782372",
"telephone_number": "936-828-0937",
"fax_number": "936-273-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMANSKI",
"first_name": "WENDY",
"middle_name": "MARIE",
"credential": "OPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "OPA-C 1197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.