NPIMap

Individual provider Active NPI

Dianne E. Wollaston, M.D.

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1427161637
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
J6819 Issued in TX
Practice address
902 Frostwood
Suite 208
Houston, TX 77024-2426
Phone
(713) 266-1946
Fax
(713) 467-7432
NPI assigned
Aug 15, 2006
Last updated
Dec 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X J6819 TX Primary

Addresses

Primary practice location

902 Frostwood
Suite 208
Houston, TX 77024-2426

Mailing address

902 Frostwood
Suite 208
Houston, TX 77024-2426
Phone (713) 266-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060216000307 TX Practitioner - RheumatologyPractitioner - Internal Medicine 1658386321 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

902 Frostwood Dr
Suite 208
Houston, TX 77024-2426
Phone (713) 266-1946

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6819TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dale G. Halter, M.D. Rheumatology Past Accepting new patients
Memorial Advanced Rheumatology Inc Rheumatology Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1427161637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD",
            "address_2": "SUITE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242426",
            "telephone_number": "713-266-1946",
            "fax_number": "713-467-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD",
            "address_2": "SUITE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242426",
            "telephone_number": "713-266-1946",
            "fax_number": "713-467-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLASTON",
        "first_name": "DIANNE",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "J6819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.