Organization Active NPI

Wojciech Zolcik M.D. P.C.

  • Psychiatry Physician
  • Sheridan, WY
National Provider Identifier
1295912509
Registry record updated Jul 30, 2008
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
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

Updated by the provider on Jul 30, 2008

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
115107000MedicaidWY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.