NICHOLAS WIECZOREK


Address: 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431
Phone: 7046262505

NICHOLAS WIECZOREK (NPI# 1215212691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215212691
Entity Type Individual
Full Name NICHOLAS WIECZOREK
Credential MD
Practice Address 6047 Tyvola Glen Cir
Charlotte
NC 28217-6431
Mailing Address 303 Perimeter Ctr N
Ste 300
Atlanta
GA 30346-3401
Practice Telephone 7046262505
Practice Fax Number 7046262505
Mailing Telephone 7046262505
Mailing Fax Number 7046262505
Enumeration Date 2011-10-17
Last Update Date 2017-03-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 57020097 OH Allopathic & Osteopathic Physicians
Y 208100000X Physical Medicine & Rehabilitation 183488 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC CSR 20-38651 01
NC DEA FW5424774 01
NC 1215212691 05
SC DEA FW5424774 01

Office Location

Street Address 6047 TYVOLA GLEN CIR
City CHARLOTTE
State NC
Zip Code 28217-6431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659434934 Home Health Enterprises, Inc Home Infusion 6047 Tyvola Glen Cir, #134, Charlotte, NC 28217-6431 2006-12-18
1780239921 Pdi Health Nc LLC Clinic/Center 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 2019-08-05
1952956195 Pdi Health Nc LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 2019-08-05
1144676768 Skycare Services LLC Counselor 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 2016-05-12
1144674953 Integrity Care Services Inc. Non-emergency Medical Transport (VAN) 6047 Tyvola Glen Cir, Suite 112, Charlotte, NC 28217-6431 2016-04-18
1407153026 Alternative Transitions of The Carolinas Home Health 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 2011-02-16
1427171644 Alternative Transitions of The Carolinas, Inc Home Health 6047 Tyvola Glen Cir, Suite 216, Charlotte, NC 28217-6431 2007-04-10
1275696429 Home Health Enterprises, Inc Nursing Care 6047 Tyvola Glen Cir, #134, Charlotte, NC 28217-6431 2006-12-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962017798 Kelby Rae Hurlocker Specialist/Technologist 500 Center Park Dr, Charlotte, NC 28217 2020-09-09
1356967749 Optum Pharmacy 701, LLC Pharmacy 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 2020-06-22
1598302937 Brigit Boyce Occupational Therapist 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 2019-12-04
1275016933 Zarah Pulfrey Physician Assistant Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 2018-09-10
1972085918 Dynamic Health Medical Group Pllc Pain Medicine 4705 South Blvd, Charlotte, NC 28217 2018-09-06
1184102048 Charday Caple Counselor 735 Echodale Dr, Charlotte, NC 28217 2018-08-02
1326532250 Dupont Livery LLC Non-emergency Medical Transport (VAN) 4200 S Tryon St, Charlotte, NC 28217 2018-06-14
1891215232 Lakesha Shamise Welch Counselor 5709 South Hampton R., Charlotte, NC 28217 2017-06-27
1245768282 Allison Harris Lafone Counselor 515 Clanton Road, Charlotte, NC 28217 2017-06-02
1619416906 Charlie Randolph Taylor Jr. Counselor 517 Clanton Road, Charlotte, NC 28217 2017-02-20
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528683935 Ivyrehab North Carolina LLC Physical Medicine & Rehabilitation 9216 Ardey Kell Road, Ste 300, Charlotte, NC 28277-4954 2020-06-11
1003466582 Tiffany Hairston Physical Medicine & Rehabilitation 2144 Maplecrest Dr, Charlotte, NC 28212-6918 2019-09-16
1316501646 Onward Charlotte LLC Physical Medicine & Rehabilitation 529 W Summit Ave Ste 1d, Charlotte, NC 28203-4350 2019-04-22
1396157285 Zachary Bailowitz Physical Medicine & Rehabilitation 1000 Blyth Blvd, Charlotte, NC 28203 2014-05-27
1528320702 Medical Athletics LLC Physical Medicine & Rehabilitation 8535 Cliff Cameron Dr, Suite 116, Charlotte, NC 28269-5908 2012-06-13
1215223862 Integra Rehabilitation Physicians, Pllc Physical Medicine & Rehabilitation 11220 Elm Ln Ste 102, Charlotte, NC 28277-0716 2011-06-22
1558501296 Stephanie Plummer Physical Medicine & Rehabilitation 2801 Randolph Road, Suite 100, Charlotte, NC 28211-1051 2009-02-20
1689839813 Jason David Tucker Physical Medicine & Rehabilitation 12312 Copper Way, Suite 200, Charlotte, NC 28277-3386 2008-07-28
1831311679 Jonathan P French Physical Medicine & Rehabilitation 2801 Randolph Rd Ste 100, Charlotte, NC 28211-1051 2007-05-02
1497785430 Sharon K Kanelos Physical Medicine & Rehabilitation 10508 Park Rd Ste 130, Charlotte, NC 28210-8526 2006-07-04
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City CHARLOTTE
Zip Code 28217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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