Active NPI
Thaddeus Wojcik, M.D.
- Gynecology Physician
- Olean, NY
National Provider Identifier
1508865601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 155651
- Practice address
- 535 Main St
Olean, NY 14760-1513 - Phone
- (716) 372-0141
- Fax
- (716) 376-2225
- NPI assigned
- Jul 20, 2005
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 155651 | NY | Primary |
Addresses
Primary practice location
535 Main St
Olean, NY 14760-1513
Mailing address
535 Main St
Olean, NY 14760-1513
Phone (716) 372-0141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00839478 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100222000200 | NY | Practitioner - Obstetrics/Gynecology | 7113974874 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Buffalo School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Olean Medical Practice PLLC
Practice addresses (Care Compare)
535 Main St
Suite 1
Olean, NY 14760-1500
Phone (716) 372-0141
Hospital & facility affiliations
- Kaleida Health
- Olean General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155651 | NY | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olean Medical Practice PLLC | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients |
Locations
535 Main St
Olean, NY 14760
Phone (716) 372-0141
535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6edd93a1-7391-4938-bcd9-ebe248fd573e/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Olean, NY
- NPI 1679223366
-
- Clinic/Center
- Ellicottville, NY
- NPI 1003566233
Hospital & facility affiliations 8
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": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1508865601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601513",
"telephone_number": "716-372-0141",
"fax_number": "716-376-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601513",
"telephone_number": "716-372-0141",
"fax_number": "716-376-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCIK",
"first_name": "THADDEUS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "155651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00839478",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.