Pinetree Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9501458 Issued in NC

Legal business name

PINETREE CLINIC, PLLC

Practice address

289 Olmsted Blvd Ste 7
Pinehurst, NC 28374-9023

Phone

(910) 295-2900

Fax

(910) 295-2935

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory H Wlodarski, MDNPI 1891712592

Title

Owner

Phone

(910) 295-2900

Specialties & licenses 1

Addresses

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.

• Gregory H Wlodarski, MD

  • Family Medicine Physician
  • Klamath Falls, OR
  • NPI 1891712592
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598896805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD STE 7",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749023",
            "telephone_number": "910-295-2900",
            "fax_number": "910-295-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD STE 7",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749023",
            "telephone_number": "910-295-2900",
            "fax_number": "910-295-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINETREE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WLODARSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-295-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinehurst Radiology Group P a
• Pinehurst Skin Surgery Center PLLC
• Pinehurst Surgical Clinic PA
• Pinehurst Wellness Associates PLLC
• Pinehurst Womens Clinic PA
• Pinetree Clinic, PLLC
• William Chase Pinson, LMFT-A
• Lawrence B Place, MD
• Play With Me OT
• Pleasant Living Healthcare, Inc (Quail Haven Village)

• Family Medicine Physician in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.