Individual provider Active NPI

William Edmund Wieczorek, M.D.

  • Obstetrics & Gynecology Physician
  • Abington, PA
National Provider Identifier
1588027908
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD470346 Issued in PA
Practice address
1245 Highland Ave Ste 109
Abington, PA 19001-3722
Phone
(215) 481-4212
Fax
(215) 481-2048
NPI assigned
Apr 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD470346 PA Primary

Addresses

Primary practice location

1245 Highland Ave Ste 109
Abington, PA 19001-3722

Mailing address

2500 Maryland Rd Ste 400
Willow Grove, PA 19090-1225
Phone (215) 481-4143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720003566 PA Practitioner - Obstetrics/Gynecology 2860783586 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 109
Abington, PA 19001-3722

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD470346PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jul 20, 2020 Accepting new patients
Abington Memorial Hospital Obstetrics & Gynecology CurrentSince Mar 3, 2021 Accepting new patients
Abington Memorial Hospital Obstetrics & Gynecology CurrentSince Jul 20, 2020 Accepting new patients
Aria Health Physician Services-GYN Obstetrics & Gynecology CurrentSince Oct 1, 2021 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services CurrentSince Oct 1, 2021 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 20, 2020 Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

240 Middletown Blvd
Ste 101B
Langhorne, PA 19047
Phone (215) 757-5737

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

3998 Red Lion Rd
Ste 106
Philadelphia, PA 19114
Phone (215) 612-4143

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1588027908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD STE 400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901225",
            "telephone_number": "215-481-4143",
            "fax_number": "215-481-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE STE 109",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013722",
            "telephone_number": "215-481-4212",
            "fax_number": "215-481-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "WILLIAM",
        "middle_name": "EDMUND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD470346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.