Provider Type Icon

PETER NIEMCZYK MD FACS LLC NPI 1215119524


NPI Information

NPI: 1215119524
Provider Name: PETER NIEMCZYK MD FACS LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
5171 CUB LAKE RD
SUITE C340
SHOW LOW, AZ
ZIP 85901
Phone: (928) 537-0111
Get Directions

PETER NIEMCZYK MD FACS LLC is an urology in Show Low, AZ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PETER NIEMCZYK MD FACS LLC NPI is 1215119524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5171 CUB LAKE RD
SUITE C340
SHOW LOW, AZ
ZIP 85901-888
Phone: (928) 537-0111
Fax: (623) 583-9666

The provider's authorized official is Peter Niemczyk .
The authorized official title is Director and has the following contact phone number (623) 780-2300.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 5/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology34718ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z106974MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.