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WIOLETA ELZBIETA MAZURCZAK MD NPI 1588799738


NPI Information

NPI: 1588799738
Provider Name: WIOLETA ELZBIETA MAZURCZAK, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
4400 W 69TH ST
STE 1500
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 322-5700
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Wioleta Elzbieta Mazurczak, MD is a child and adolescent psychiatry psychiatry neurology in Sioux Falls, SD with 40 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Wioleta Elzbieta Mazurczak, MD NPI is 1588799738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4400 W 69TH ST
STE 1500
SIOUX FALLS, SD
ZIP 57108-170
Phone: (605) 322-5700
Fax: (605) 322-5704

The NPI 1588799738 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 enumeration date for this NPI number is 2/21/2007 and was last updated on 10/11/2018.


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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry7102SOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1040121002OTHERPRIMEWEST
26I497MAOTHERMINNESOTACC SYSTEMS/ BLUE PLUS
312200MEDICAIDNORTH DAKOTA
4412991052723OTHERSOUTH DAKOTAPREFERRED ONE
5708402000MEDICAIDMINNESOTA
61588799738OTHERSOUTH DAKOTAARAZ/ AMERICA'S PPO
7HP83890OTHERSOUTH DAKOTAHEALTHPARTNERS
846022474352MEDICAIDNEBRASKA
9254722OTHERSOUTH DAKOTAMIDLAND'S CHOICE
104992668OTHERSOUTH DAKOTABCBS SOUTH DAKOTA
116I497MAOTHERMINNESOTABLUE PLUS
127102OTHERSOUTH DAKOTADAKOTACARE
1361408OTHERSANFORD HEALTH PLAN
147101960MEDICAIDSOUTH DAKOTA
15370624200OTHERDEPT. OF LABOR
1657108C036OTHERSOUTH DAKOTAWPS TRICARE

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.