Active NPI
Donald R Woloszyn, MD
- Pulmonary Disease Physician
- Brunswick, ME
National Provider Identifier
1437182862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 017720
- Practice address
- 329 Maine Street
Ste C
Brunswick, ME 04011 - Phone
- (207) 729-5720
- Fax
- (207) 729-5691
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 017720 | ME | Primary |
Addresses
Primary practice location
329 Maine Street
Ste C
Brunswick, ME 04011
Mailing address
329 Maine Street
Ste C
Brunswick, ME 04011
Phone (207) 729-5720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432874699 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017720 | ME | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1437182862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 MAINE STREET",
"address_2": "STE C",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "04011",
"telephone_number": "207-729-5720",
"fax_number": "207-729-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 MAINE STREET",
"address_2": "STE C",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "04011",
"telephone_number": "207-729-5720",
"fax_number": "207-729-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLOSZYN",
"first_name": "DONALD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ME",
"license": "017720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432874699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.