Active NPI
Wojciech Zolcik M.D. P.C.
- Psychiatry Physician
- Sheridan, WY
National Provider Identifier
1295912509
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
- 101 W Brundage St
Sheridan, WY 82801-4217 - Phone
- (307) 674-1665
- Fax
- (307) 687-7243
- NPI assigned
- Jan 29, 2008
- 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
- Dr. Wojciech Zolcik, M.D.
- Title
- Physician
- Phone
- (307) 674-1665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6219A | WY | Primary |
Addresses
Primary practice location
101 W Brundage St
Sheridan, WY 82801-4217
Mailing address
PO Box 7060
Gillette, WY 82716
Phone (307) 674-1720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115107000 | Medicaid | WY |
National Provider Directory
National Provider DirectoryLocations
101 W Brundage St
Sheridan, WY 82801
Phone (307) 674-5534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1295912509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7060",
"city": "GILLETTE",
"state": "WY",
"postal_code": "82716",
"telephone_number": "307-674-1720",
"fax_number": "307-687-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W BRUNDAGE ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828014217",
"telephone_number": "307-674-1665",
"fax_number": "307-687-7243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOJCIECH ZOLCIK M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "ZOLCIK",
"authorized_official_first_name": "WOJCIECH",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "307-674-1665",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"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 Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.