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MARK WITACZACK DO
NPI 1104962182
Radiology - Diagnostic Radiology in Chanute, KS

Active since January 29, 2007
629 S PLUMMER, CHANUTE, KS 66720(316) 321-5900(316) 321-4763 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Witaczack Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK WITACZACK DO (NPI 1104962182) is an individual diagnostic radiology provider in Chanute, Kansas, licensed in Kansas (05-20132) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104962182
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK WITACZACKCredential: DO
Location Address629 S PLUMMERChanute, KS 66720
Mailing AddressPo Box 662Chanute, KS 66720
Phone(316) 321-5900
Fax(316) 321-4763
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104962182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in KS · 05-20132
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

629 S PLUMMER, Chanute, KS 66720
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Other Identifiers 2

Medicare ID-Type Unspecified009737KS
Medicare UPINB91191KS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGG ALAN RICKABAUGH CRNA
Nurse Anesthetist, Certified Registered
629 S PLUMMER
CHANUTE, KS 66720
Neosho County (620) 431-4000
CHANUTE ANESTHESIA SERVICES LLC
Nurse Anesthetist, Certified Registered
629 S PLUMMER
CHANUTE, KS 66720
Neosho County (620) 431-4000
MS. PAMELA MARIE SETTER LCSW
Social Worker (Clinical)
629 S PLUMMER, NEW HORISONS COUNSELING
CHANUTE, KS 66720
Neosho County (620) 432-5435

Frequently Asked Questions

What is Mark Witaczack's NPI number?

The NPI number assigned to this healthcare provider is 1104962182, enumerated as an "individual" on January 29, 2007.

Where is the provider located?

The provider is located at 629 S PLUMMER CHANUTE, KS 66720 and the phone number is (316) 321-5900.

What is the provider's specialty?

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

What insurance does Mark Witaczack accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.