Thomas G Chulski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41922 Issued in WI

Practice address

900 E Division St
Wautoma, WI 54982-6944

Phone

(920) 787-6900

Fax

(920) 787-6903

NPI assigned

Sep 7, 2005

Last updated

Oct 20, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1700870607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E DIVISION ST",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826944",
            "telephone_number": "920-787-6900",
            "fax_number": "920-787-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E DIVISION ST",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826944",
            "telephone_number": "920-787-6900",
            "fax_number": "920-787-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHULSKI",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "41922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32626700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar Pines, Inc
• Caroline Chalk, LPC-IT, SAC-IT
• Chiroplus Complementary Healthcare Centers, LLC
• Chiropractic Health and Wellness Center of Wautoma, Inc
• Renny Cho, DDS
• Alma Church, RDH
• Joel W Cler, MD
• Community Health Network (CHN Medical Center Wautoma)
• Cooperative Care
• Vendita Correia, DMD

• Family Medicine Physician in Wautoma, WI
• Providers in Wautoma, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.