John Wesolowski, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R078019 Issued in MD

Practice address

289 Hickory Ridge Dr
Queenstown, MD 21658-1392

Phone

(410) 340-3705

Fax

(410) 827-7673

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Mukul Khandelwal, PA

  • Gastroenterology Physician
  • Glen Burnie, MD
  • NPI 1316969256

  MD

  Medicare reassignment NPD
• North American Partners in Anesthesia Maryland LLC

  • Anesthesiology Physician
  • Prince Frederick, MD
  • NPI 1093707879

  DC, MD

  Medicare reassignment NPD
• Easton Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Easton, MD
  • NPI 1316491236

  MD

  Medicare reassignment
• Global Anesthesia Services LLC

  • Anesthesiology Physician
  • Bel Air, MD
  • NPI 1013312412

  DC

  Medicare reassignment
• Cumberland Anesthesia Ams LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1033531785

  MD

  Medicare reassignment
• Francu One LLC

  • Specialist
  • Glen Burnie, MD
  • NPI 1194972588
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1962440255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207250609",
            "telephone_number": "410-340-3705",
            "fax_number": "410-827-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 HICKORY RIDGE DR",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581392",
            "telephone_number": "410-340-3705",
            "fax_number": "410-827-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESOLOWSKI",
        "first_name": "JOHN",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R078019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BC/BS",
            "identifier": "NA96",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BC/BS",
            "identifier": "K230",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00099944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Maryland Surgical Associates, PA
• University of Maryland Surgical Associates, PA
• University of Maryland Surgical Associates, PA
• Kathleen Stephanie Van Fossen, LCSWC
• Thomas M. Walsh, M.D.
• Nicole Williams, S.L.P.

• All providers in Queenstown, MD
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.