Individual provider Active NPI

William Alex Zarychta, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1508817495
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA000713 Issued in PA
Practice address
Uscg HQ Clinic HSC(K)
2100 Second Street SW, Rmb732
Washington, DC 20593-0001
Phone
(202) 372-4100
Fax
(202) 372-4912
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050780 PA
Physician Assistant 363A00000X OA000713 PA Primary

Addresses

Primary practice location

Uscg HQ Clinic HSC(K)
2100 Second Street SW, Rmb732
Washington, DC 20593-0001

Mailing address

2100 2ND St SW
Uscg HQ HSC(K), RM B732
Washington, DC 20593-0001
Phone (202) 372-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050780PAMDPhysician Assistant
OA000713PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delmar Emergency Specialists PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1508817495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 2ND ST SW",
            "address_2": "USCG HQ HSC(K), RM B732",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "202-372-4100",
            "fax_number": "202-372-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USCG HQ CLINIC HSC(K)",
            "address_2": "2100 SECOND STREET SW, RMB732",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "202-372-4100",
            "fax_number": "202-372-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARYCHTA",
        "first_name": "WILLIAM",
        "middle_name": "ALEX",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050780",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.