Todd Wallace Kaczmark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

081278 Issued in PA

Practice address

601 Colliers Way
Weirton, WV 26062-5014

Phone

(304) 797-6000

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, PA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weirton Medical Center IncGroup PAC ID 6709771827, 23 clinicians

E. Ronald Salvitti, M.D., Inc.Group PAC ID 0749192854, 14 clinicians

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Weirton Medical Center Inc

  • Internal Medicine Physician
  • Weirton, WV
  • NPI 1144423864
  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment Care Compare group NPD
• E. Ronald Salvitti, M.D., Inc.

  • Ophthalmology Physician
  • Washington, PA
  • NPI 1568467884
  Medicare reassignment Care Compare group NPD
• Keystone Anesthesia Consultants, LTD

  • Anesthesiology Physician
  • Washington, PA
  • NPI 1861450751
  Medicare reassignment NPD
• Regional Anesthesia Experts PC

  • Anesthesiology Physician
  • Bridgeville, PA
  • NPI 1114434883

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• E. Ronald Salvitti, M.D., Inc.

  dba Southwestern PA Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Washington, PA
  • NPI 1578567954
  Medicare reassignment
• Weirton Medical Center Inc

  dba Weirton Medical Center Anesthesia Dept.

  • Certified Registered Nurse Anesthetist
  • Weirton, WV
  • NPI 1083904403

  Nurse Anesthetist, Certified Registered

  NPD
• Weirton Medical Center Inc

  • Home Health Agency
  • Weirton, WV
  • NPI 1922009505
  NPD
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• Wvu Med Corp Cheat Lake Physicians

  • Clinical Medical Laboratory
  • Morgantown, WV
  • NPI 1568661148
  NPD
• Advanced Pain Medicine PC

  • Pain Medicine Physician
  • Wexford, PA
  • NPI 1093733933
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Weirton Medical Center, Inc

  dba Weirton Medial Center

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1881838753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-797-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-797-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMARK",
        "first_name": "TODD",
        "middle_name": "WALLACE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "081278",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "74410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Endrich MD PLLC
• George Joseph, M.D.
• Daniel Bruce Jovanovich, MD
• Juginder K Luthra MD Inc
• Brittany Jeanette Kable, CRNP
• Georgenne Kamarados
• Praveena Kandala, MNT
• Hemamalini Karpurapu, MD
• Rise Lee Katnik, MSN
• Gurleen Kaur

• Certified Registered Nurse Anesthetist in Weirton, WV
• Providers in Weirton, WV by specialty
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.