National Provider Identifier Database

PETER NIEMCZYK, MD – NPI #1518953041
Urology

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.


Contact Information

PETER NIEMCZYK, MD
5171 CUB LAKE RD
BLDG C STE 340
SHOW LOW, AZ85901-7888
Phone: 928-537-0111
Fax: 623-582-9666
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for PETER NIEMCZYK

NPI Number 1518953041
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 05/21/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • AZ License #: 34718
  • AZ Medicaid: 477100
  • Other: 5135633 AETNA
  • Other: 674661 CIGNA
  • Other: P00378324 RAILROAD MEDICARE
  • AZ Other: AZ0156450 BLUE CROSS BLUE SHIELD
  • AZ Other: 2Z2716 HEALTHNET
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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