Active NPI
Wojciech Zolcik, M.D., P.C.
- Psychiatry Physician
- Gillette, WY
National Provider Identifier
1083855316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6219A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115107000 | Medicaid | WY |
National Provider Directory
National Provider DirectoryLocations
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.