Witold Iglikowski MD Prof Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NV20141070263 Issued in NV

Legal business name

WITOLD IGLIKOWSKI MD PROF CORP

Practice address

3753 Howard Hughes Pkwy # 200-216
Las Vegas, NV 89169-0938

Phone

(702) 544-0179

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Witold Iglikowski, M.D.NPI 1164412680

Title

President

Phone

(702) 268-3079

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Witold J Iglikowski, M.D.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1164412680
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1730553504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CHESTNUT RIDGE CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122162",
            "telephone_number": "702-630-0895",
            "fax_number": "702-459-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 HOWARD HUGHES PKWY # 200-216",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891690938",
            "telephone_number": "702-544-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 W Horizon Ridge Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525014",
            "country_code": "US",
            "telephone_number": "702-630-0895",
            "fax_number": "702-459-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WITOLD IGLIKOWSKI MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "IGLIKOWSKI",
        "authorized_official_first_name": "WITOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-268-3079",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "NV20141070263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Withers for Warriors
• Maura Withers
• Curtis Witherspoon
• Draonna Witherspoon
• Ryan Witholt, LMT
• Chance Witt
• Christopher S Witt, PT
• Daneisha Latrease Witt
• Jessica Witt
• Robin Amanda Witt, RBT

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.