Active NPI
Anna Wolyn, MD
- General Practice Physician
- Sedona, AZ
National Provider Identifier
1669419032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 45233
- Practice address
- 95 Soldiers Pass Rd
Suite B
Sedona, AZ 86336 - Phone
- (928) 203-4357
- Fax
- (928) 203-4497
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301060557 | MI | |
| General Practice Physician | 208D00000X | 45233 | AZ | Primary |
Addresses
Primary practice location
95 Soldiers Pass Rd
Suite B
Sedona, AZ 86336
Mailing address
95 Soldiers Pass Rd
Suite B
Sedona, AZ 86336
Phone (616) 656-3700
Other names 1
- Agnieszka Hanna Goszczynska
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301060557 | MI | MD | Pediatrics Physician |
| 45233 | AZ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1669419032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 SOLDIERS PASS RD",
"address_2": "SUITE B",
"city": "SEDONA",
"state": "AZ",
"postal_code": "86336",
"telephone_number": "616-656-3700",
"fax_number": "616-656-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SOLDIERS PASS RD",
"address_2": "SUITE B",
"city": "SEDONA",
"state": "AZ",
"postal_code": "86336",
"telephone_number": "928-203-4357",
"fax_number": "928-203-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLYN",
"first_name": "ANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301060557",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "45233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AGNIESZKA",
"last_name": "GOSZCZYNSKA",
"middle_name": "HANNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.