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MACIEY J DRUZDZEL MD PC
NPI 1811242308
Clinic/Center - Primary Care in Gold Beach, OR

Active since July 20, 2012
29593 ELLENSBURG AVE., GOLD BEACH, OR 97444(154) 124-7949(154) 124-7967 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maciey J Druzdzel Md Pc NPPES

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

MACIEY J DRUZDZEL MD PC (NPI 1811242308) is a healthcare organization registered as a primary care in Gold Beach, Oregon and active in the NPI registry since July 2012. The organization lists Maciey J Druzdzel, President, as its authorized official.

NPPES Registry Identity

NPI1811242308
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMACIEY J DRUZDZEL MD PC
Location Address29593 ELLENSBURG AVE.Gold Beach, OR 97444-1650
Mailing AddressPo Box 1650, 29593 EllensburgGold Beach, OR 97444-1650 · (154) 124-7949 · Fax (154) 124-7967
Phone(154) 124-7949
Fax(154) 124-7967
Organization SubpartNo
Authorized OfficialMaciey J DruzdzelPresident · 15412479499
Enumeration DateJuly 20, 2012
✔ NPI 1811242308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OR · MD18563
29593 ELLENSBURG AVE., Gold Beach, OR 97444
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Other Identifiers 3

Medicare UPINF53065OR
Medicaid121280OR
OtherR104978OR · Medicare

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 Maciey J Druzdzel MD PC's NPI number?

The NPI number for Maciey J Druzdzel MD PC is 1811242308. It was assigned to this organization in the NPPES registry on July 20, 2012.

Where is Maciey J Druzdzel MD PC located?

Maciey J Druzdzel MD PC is located at 29593 Ellensburg Ave., Gold Beach, OR 97444. The listed phone number is (154) 124-7949.

What is Maciey J Druzdzel MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Maciey J Druzdzel MD PC was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.