Central Wisconsin Surgical Associates SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3719 Issued in AK

Legal business name

CENTRAL WISCONSIN SURGICAL ASSOCIATES SC

Doing business as

John W. Zwiacher

Practice address

2490 S Woodworth Loop
Suite 300
Palmer, AK 99645-7405

Phone

(907) 357-1917

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

John W Zwiacher, M.D.

Title

Physcian

Phone

(907) 357-1917

Specialties & licenses 1

Addresses

Other names 1

• John W. Zwiacher Doing business as

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1336178318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 N TRAVELAIR DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996544312",
            "telephone_number": "907-357-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 300",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-357-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WISCONSIN SURGICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ZWIACHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "907-357-1917",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "3719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John W. Zwiacher",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Palmer, AK
• Providers in Palmer, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.