Active NPI
Tomasz K. Wazny, RETIRED
- Infectious Disease Physician
- Port Charlotte, FL
National Provider Identifier
1457349763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- RETIRED073121
- Practice address
- PO Box 49479
Port Charlotte, FL 33949 - Phone
- (941) 613-2800
- NPI assigned
- Oct 11, 2005
- Last updated
- Feb 25, 2025
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | RETIRED073121 | FL | Primary |
Addresses
Primary practice location
PO Box 49479
Port Charlotte, FL 33949
Mailing address
PO Box 49479
Port Charlotte, FL 33949
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 |
|---|---|---|---|
| RETIRED073121 | FL | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1457349763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49479",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 49479",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33949",
"telephone_number": "941-613-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAZNY",
"first_name": "TOMASZ",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "RETIRED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "RETIRED073121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.