Organization Active NPI

Wojciech Zolcik, M.D., P.C.

  • Psychiatry Physician
  • Gillette, WY
National Provider Identifier
1083855316
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6219A Issued in WY
Legal business name
WOJCIECH ZOLCIK, M.D., P.C.
Practice address
113 S Gillette Ave
Suite 200
Gillette, WY 82716-3740
Phone
(402) 202-7761
Fax
(307) 460-7417
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Mrs. Krismichelle Zolcik
Title
Office Manager
Phone
(402) 202-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 6219A WY Primary

Addresses

Primary practice location

113 S Gillette Ave
Suite 200
Gillette, WY 82716-3740

Mailing address

113 S Gillette Ave
Suite 200
Gillette, WY 82716-3740
Phone (402) 202-7761

Other identifiers 1

IdentifierTypeStateIssuer
115107000MedicaidWY

National Provider Directory

National Provider Directory

Locations

113 S Gillette Ave
Ste 200
Gillette, WY 82716
Phone (307) 363-0693

113 S Gillette Ave
Gillette, WY 82716
Phone (307) 685-6982

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1083855316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S GILLETTE AVE",
            "address_2": "SUITE 200",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163740",
            "telephone_number": "402-202-7761",
            "fax_number": "307-460-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S GILLETTE AVE",
            "address_2": "SUITE 200",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163740",
            "telephone_number": "402-202-7761",
            "fax_number": "307-460-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOJCIECH ZOLCIK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "ZOLCIK",
        "authorized_official_first_name": "KRISMICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-202-7761",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "6219A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115107000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.