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

Q: What is Mark Witaczack's NPI number?

The NPI number for Mark Witaczack is 1104962182. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Mark Witaczack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mark Witaczack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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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.

MS. PAMELA MARIE SETTER LCSW

Social Worker (Clinical)

629 S PLUMMER, NEW HORISONS COUNSELING
CHANUTE, KS 66720

Neosho County (620) 432-5435

CHANUTE ANESTHESIA SERVICES LLC

Nurse Anesthetist, Certified Registered

629 S PLUMMER
CHANUTE, KS 66720

Neosho County (620) 431-4000

GREGG ALAN RICKABAUGH CRNA

Nurse Anesthetist, Certified Registered

629 S PLUMMER
CHANUTE, KS 66720

Neosho County (620) 431-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Witaczack's NPI number?

The NPI number for Mark Witaczack is 1104962182. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Mark Witaczack located?

Mark Witaczack practices at 629 S Plummer, Chanute, KS 66720. The listed phone number is (316) 321-5900.

What is Mark Witaczack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mark Witaczack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.