Active NPI
Terrence P Wolanski, MD
- Pulmonary Disease Physician
- Jacksonville, NC
National Provider Identifier
1740359082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26619
- Practice address
- 317 Western Blvd
Jacksonville, NC 28546-6379 - Phone
- (910) 577-2345
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 26619 | NC | Primary |
Addresses
Primary practice location
317 Western Blvd
Jacksonville, NC 28546-6379
Mailing address
PO Box 12276
Jacksonville, NC 28546-2276
Phone (910) 455-2124
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32882 | Other | NC | MEDCOST |
| 8988739 | Medicaid | NC | |
| 88739 | Other | NC | BCBSNC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1740359082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12276",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285462276",
"telephone_number": "910-455-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 WESTERN BLVD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466379",
"telephone_number": "910-577-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLANSKI",
"first_name": "TERRENCE",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "26619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "32882",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8988739",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "88739",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.