Active NPI
Christopher J. Wlaz, M.D.
- General Practice Physician
- Plainville, MA
National Provider Identifier
1447320460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 42944
- Practice address
- 57 George St
Plainville, MA 02762-1601 - Phone
- (508) 944-2866
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 42944 | MA | Primary |
Addresses
Primary practice location
57 George St
Plainville, MA 02762-1601
Mailing address
57 George St
Plainville, MA 02762-1601
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109886 | Medicaid | MA | |
| S009570 | Other | CHAMPUS GROUP NUMBER | |
| 238074 | Medicaid | MA | |
| M14099 | Other | MA | MA BCBS GROUP NUMBER |
| 4142-3 | Other | RI | RI BCBS GROUP NUMBER |
| 9741836 | Medicaid | MA |
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 |
|---|---|---|---|
| 42944 | MA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454198400000",
"number": "1447320460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 GEORGE ST",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027621601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 GEORGE ST",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027621601",
"telephone_number": "508-944-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WLAZ",
"first_name": "CHRISTOPHER",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2016-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "42944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109886",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS GROUP NUMBER",
"identifier": "S009570",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238074",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BCBS GROUP NUMBER",
"identifier": "M14099",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BCBS GROUP NUMBER",
"identifier": "4142-3",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9741836",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.