Zbigniew Cichon, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

96-00887 Issued in NC

Legal business name

ZBIGNIEW CICHON, MD, PA

Practice address

110 Jefferson St
Suite 103
North Wilkesboro, NC 28659-3507

Phone

(336) 838-1617

Fax

(336) 838-2637

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Zbigniew Cichon, M.D.NPI 1881696243

Title

President

Phone

(336) 838-1617

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Zbigniew Cichon, M.D.

  • Internal Medicine Physician
  • North Wilkesboro, NC
  • NPI 1881696243

  Internal Medicine, NC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1326217068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591406",
            "telephone_number": "336-838-1617",
            "fax_number": "336-838-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JEFFERSON ST",
            "address_2": "SUITE 103",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593507",
            "telephone_number": "336-838-1617",
            "fax_number": "336-838-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZBIGNIEW CICHON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "CICHON",
        "authorized_official_first_name": "ZBIGNIEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-838-1617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "96-00887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22641",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911617",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Eleanor Yaraei, MD
• Jason Eugene Yockey, CRNA
• Bobby Joe Younce II, LCSW-A
• Hannah Yow, LCSWA
• Timothy Scott Zage, PA-C
• Leah Zettelmeier, BSN, RN

• All providers in North Wilkesboro, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.