DR. BYRON MICHAEL MARCINIAK DO
NPI 1194429217
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Q: What is Byron Marciniak's NPI number?

The NPI number for Byron Marciniak is 1194429217. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Byron Marciniak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Byron Marciniak was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 30, 2023PECOS Enrolled

1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 521-8260(479) 444-7820 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2023, Mar 30, 2023 (2 updates tracked since 2023).

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About Dr. Byron Michael Marciniak Do NPPES

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

DR. BYRON MICHAEL MARCINIAK DO (NPI 1194429217) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194429217

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BYRON MICHAEL MARCINIAKCredential: DO

Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908

Mailing Address1125 N College AveFayetteville, AR 72703-1908 · (479) 521-8260 · Fax (479) 444-7820

Phone(479) 521-8260

Fax(479) 444-7820

Sole ProprietorNo

Enumeration DateMarch 30, 2023

Last NPPES UpdateMay 4, 20232 updates tracked since enumeration

NPPES CertifiedMay 4, 2023

✔ NPI 1194429217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1125 N COLLEGE AVE, Fayetteville, AR 72703

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Byron Michael Marciniak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

GRACE WOOD

Student in an Organized Health Care Education/Training Program