Active NPI
Joseph Wysoki, DO
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1548266232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G8520
- Practice address
- 9969 Fredericksburg Rd
San Antonio, TX 78240-4106 - Phone
- (210) 690-2273
- Fax
- (210) 581-8209
- NPI assigned
- Jun 27, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G8520 | TX | Primary |
Addresses
Primary practice location
9969 Fredericksburg Rd
San Antonio, TX 78240-4106
Mailing address
9969 Fredericksburg Rd
San Antonio, TX 78240-4106
Phone (210) 690-2273
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2044014 | Other | AETNA | |
| 2167831 | Other | TX | BLUE LINK |
| 2964829005 | Other | CIGNA HMO | |
| 85279Y | Other | TX | BCBS |
| 298935 | Other | ONE HEALTH | |
| 737804 | Other | HUMANAL GOLD | |
| 1334229-06 | Medicaid | TX | |
| 16167-0002 | Other | PACIFICARE | |
| 2964829004 | Other | CIGNA POS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8520 | TX | MD | Family Medicine Physician |
Interoperability endpoints
- josephwysoki@mgmc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1548266232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9969 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404106",
"telephone_number": "210-690-2273",
"fax_number": "210-581-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9969 FREDERICKSBURG RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404106",
"telephone_number": "210-690-2273",
"fax_number": "210-581-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSOKI",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G8520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2044014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK",
"identifier": "2167831",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "2964829005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85279Y",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH",
"identifier": "298935",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANAL GOLD",
"identifier": "737804",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1334229-06",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "16167-0002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA POS",
"identifier": "2964829004",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.