Individual provider Active NPI

Nikolaos Chatzizacharias, MD, PHD, FRCS

  • Surgical Oncology Physician
  • Wauwatosa, WI
National Provider Identifier
1871049072
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
65018-20 Issued in WI
Practice address
9200 West Wisconsin Avenue
Medical College of Wisonsin
Wauwatosa, WI 53226-3596
Phone
(414) 805-5020
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 65018-20 WI Primary

Addresses

Primary practice location

9200 West Wisconsin Avenue
Medical College of Wisonsin
Wauwatosa, WI 53226-3596

Mailing address

9200 West Wisconsin Avenue
Medical College of Wisonsin
Wauwatosa, WI 53226-3596
Phone (414) 805-5020

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
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1871049072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WEST WISCONSIN AVENUE",
            "address_2": "MEDICAL COLLEGE OF WISONSIN",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263596",
            "telephone_number": "414-805-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WEST WISCONSIN AVENUE",
            "address_2": "MEDICAL COLLEGE OF WISONSIN",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263596",
            "telephone_number": "414-805-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATZIZACHARIAS",
        "first_name": "NIKOLAOS",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, FRCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "WI",
            "license": "65018-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.