NPIMap

Organization Active NPI

Wilner Medical Assoicates PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Florence, SC
National Provider Identifier
1588845598
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
19078 Issued in SC
Legal business name
WILNER MEDICAL ASSOICATES PA
Practice address
251 W Palmetto St
Florence, SC 29501-4415
Phone
(843) 665-1280
Fax
(843) 679-4246
NPI assigned
Nov 19, 2007
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Lane A Wilner, MDNPI 1306895354
Title
President
Phone
(843) 665-1280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 19078 SC Primary

Addresses

Primary practice location

251 W Palmetto St
Florence, SC 29501-4415

Mailing address

251 W Palmetto St
Florence, SC 29501-4415
Phone (843) 665-1280

Other identifiers 1

IdentifierTypeStateIssuer
190787MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1588845598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014415",
            "telephone_number": "843-665-1280",
            "fax_number": "843-679-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014415",
            "telephone_number": "843-665-1280",
            "fax_number": "843-679-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILNER MEDICAL ASSOICATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "WILNER",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-665-1280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "19078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190787",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.