Individual provider Active NPI

Chris Paul Wlodarczyk, P.A.-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1902096175
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06287 Issued in TX
Practice address
7355 Barlite Blvd Ste 201
San Antonio, TX 78224-1340
Phone
(210) 222-0333
Fax
(210) 928-4837
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1053 NV
Physician Assistant 363A00000X PA06287 TX Primary

Addresses

Primary practice location

7355 Barlite Blvd Ste 201
San Antonio, TX 78224-1340

Mailing address

7355 Barlite Blvd Ste 201
San Antonio, TX 78224-1340
Phone (210) 222-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000481 TX Practitioner - Physician Assistant 0244376218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06287TXMDPhysician Assistant
PA1053NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince May 15, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince May 15, 2023 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Past Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

14625 Huebner Rd
San Antonio, TX 78230

2316 SE Military Dr
San Antonio, TX 78223
Phone (210) 817-7004

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

Interoperability endpoints

  • Direct secure messaging: chris.wlodarczyk@commsa.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1902096175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 BARLITE BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241340",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 BARLITE BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241340",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLODARCZYK",
        "first_name": "CHRIS",
        "middle_name": "PAUL",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1053",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.