RICHARD JOSEPH TRACZYK DPM NPI 1639108673

NPI Information

NPI: 1639108673
Provider Name: RICHARD JOSEPH TRACZYK, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
3818 N ROCKWELL AVE
BETHANY, OK
ZIP 73008
Phone: (405) 787-8820
Get Directions

Richard Joseph Traczyk, DPM is a foot and ankle surgery podiatrist in Bethany, OK. Richard Joseph Traczyk, DPM NPI is 1639108673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3818 N ROCKWELL AVE
BETHANY, OK
ZIP 73008-350
Phone: (405) 787-8820
Fax: (405) 495-6523

The NPI 1639108673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/2/2006 and was last updated on 3/4/2008.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	104	OKLAHOMA	Yes

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
1	1255250001	OTHER		DMERC
2	T40775	MEDICARE UPIN	OKLAHOMA
3	1255250001	MEDICARE NSC

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

NPI Synchronization or Removal

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