Timothy R Woltanski, M.D. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TW041356 Issued in MI

Legal business name

TIMOTHY R WOLTANSKI, M.D. P.C.

Practice address

202 Thomas St
Scottville, MI 49454-1064

Phone

(231) 757-3743

Fax

(231) 757-0071

NPI assigned

Sep 11, 2007

Last updated

Dec 24, 2013By 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

Dr. Timothy R Woltanski, MD

Title

President

Phone

(231) 757-3743

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387843200000",
    "number": "1619162807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 THOMAS ST",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494541064",
            "telephone_number": "231-757-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 THOMAS ST",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494541064",
            "telephone_number": "231-757-3743",
            "fax_number": "231-757-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R WOLTANSKI, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2013-12-24",
        "status": "A",
        "authorized_official_last_name": "WOLTANSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-757-3743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TW041356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1498209",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Scottville, MI
• Providers in Scottville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.