Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Wieczorkowski, PA-C, ATC

Individual provider Athletic Trainer · NPI 1629506753

Michael Wieczorkowski, PA-C, ATC is a Physician Assistant in San Antonio, Texas. Qualified in 2023, 3 years ago. Practices with The San Antonio Orthopaedic Group LLP, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2017
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone: (210) 804-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 — (208) 282-4726

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA17404 (TX)
Athletic Trainer Taxonomy 2255A2300X · Licence AT5781 (TX)
Medical Physician Assistant Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629506753
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The San Antonio Orthopaedic Group Llp — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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