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DR. ROBERT JOHN LACIAK M.D. NPI 1114196169


NPI Information

NPI: 1114196169
Provider Name: DR. ROBERT JOHN LACIAK, M.D.
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
990 NW CIRCLE BLVD
SUITE 102
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-5486
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DR. Robert John Laciak, M.D. is an urology in Corvallis, OR with 18 years of experience. 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. DR. Robert John Laciak, M.D. NPI is 1114196169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2006

The provider's business location address is:

990 NW CIRCLE BLVD
SUITE 102
CORVALLIS, OR
ZIP 97330-967
Phone: (541) 768-5486

The NPI 1114196169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • Ultrasound of rectum (HCPCS:76872)
  • Insertion of stent in urinary duct (ureter) using an endoscope (HCPCS:52332)

The enumeration date for this NPI number is 2/25/2008 and was last updated on 11/5/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyMD152679OREGONYes
2208800000XUrology6851346-1205UTAHNo

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: 4/28/2024

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.