STAN W. PNIEWSKI MD – NPI #1124054036
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

STAN PNIEWSKI is a radiologist located in SOUTH BEND, WA. NPPES has assigned the NPI number 1124054036 to STAN PNIEWSKI on June 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on Aug 06, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STAN PNIEWSKI below.

NPI Profile for
STAN W. PNIEWSKI

NPI Number
1124054036
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STAN W. PNIEWSKI
Credentials
MD
Primary location
800 ALDER ST
SOUTH BEND, WA 98586
Phone: (360) 642-3181 Fax:
Mailing address
PO BOX 2450
CORVALLIS, OR 97339-2450
Phone: (541) 758-5047 Fax: (541) 758-3713
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for STAN PNIEWSKI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA1111152
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
WA MD00038267

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.