Organization Active NPI

Witold Czerwinski, MD PA

  • Psychiatry Physician
  • Batesville, AR
National Provider Identifier
1285867457
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E2623 Issued in AR
Legal business name
WITOLD CZERWINSKI, MD PA
Practice address
12 Hospital Cir
Suite B
Batesville, AR 72501-7310
Phone
(870) 793-2800
Fax
(870) 793-2862
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. Witold Pawel Czerwinski, M.D.NPI 1710952270
Title
Psychiatrist
Phone
(870) 793-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X E2623 AR Primary

Addresses

Primary practice location

12 Hospital Cir
Suite B
Batesville, AR 72501-7310

Mailing address

PO Box 3951
Batesville, AR 72503-3951
Phone (870) 793-2800

Other identifiers 1

IdentifierTypeStateIssuer
E2623OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090915000796 AR Part B Supplier - Clinic/Group Practice 2860548930 Receives reassigned benefits from 4 practitioners
Practice locations: Batesville, AR

National Provider Directory

National Provider Directory

Locations

1368 Neeley St
Batesville, AR 72501
Phone (870) 793-2800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1285867457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3951",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725033951",
            "telephone_number": "870-793-2800",
            "fax_number": "870-793-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL CIR",
            "address_2": "SUITE B",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017310",
            "telephone_number": "870-793-2800",
            "fax_number": "870-793-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITOLD CZERWINSKI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "CZERWINSKI",
        "authorized_official_first_name": "WITOLD",
        "authorized_official_middle_name": "PAWEL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "870-793-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E2623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E2623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.