Gustaw Woch, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD429384 Issued in PA

Practice address

6 Hearthstone CT
Suite 201
Reading, PA 19606-3065

Phone

(610) 779-9550

Fax

(610) 779-6433

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pediatric MedicineAlso: Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwoch@imgpc.medentdirect.com

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.

• Integrated Medical Group P C

  • Family Medicine Physician
  • Pottsville, PA
  • NPI 1336102268

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Integrated Medical Group, P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Reading, PA
  • NPI 1881341303
  NPD
• Reading Hospital

  dba Reading Hospital Outpatient Behavioral Health Services

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1669530069

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1669484259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HEARTHSTONE CT",
            "address_2": "SUITE 201",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063065",
            "telephone_number": "610-779-9550",
            "fax_number": "610-779-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEARTHSTONE CT",
            "address_2": "SUITE 201",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063065",
            "telephone_number": "610-779-9550",
            "fax_number": "610-779-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOCH",
        "first_name": "GUSTAW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD429384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101939422",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelynn Witkus, OTR/L
• Julie Diane Witman, LPC
• Tammy L Witmer, CNM
• Yvonne Wittels
• Briana Wloczewski
• Wolfe Counseling and Wellness, LLC
• Kasey Eileen Wolfe
• Kelly M Wolfe, RN
• Robin Cheryl Wolfe, MS, RD, LD/N
• Ronald D Wolfe, M.D.

• Pediatrics Physician in Reading, PA
• Providers in Reading, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.