Mark Witaczack, DO
Mark Witaczack is a Diagnostic Radiology Physician provider (Radiology) practicing in Chanute, KS, registered in the NPPES registry with NPI 1104962182 since 2007. The credential DO stands for Doctor of Osteopathic Medicine. Practices at Chanute Anesthesia Services LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104962182 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark Witaczack |
| Credential | DO |
| Sex | Male |
| Practice address | 629 S PLUMMER, Chanute, KS, 66720 |
| Phone | 3163215900 |
| Fax | 3163214763 |
| Enumeration date | 2007-01-29 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | 05-20132 | KS |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Copy-ready billing details
Provider: Mark Witaczack, DO NPI: 1104962182 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 629 S PLUMMER, Chanute, KS, 66720
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629048343 | Gregg Rickabaugh | Individual | Certified Registered Nurse Anesthetist | Chanute, KS |
| 1487625984 | Chanute Anesthesia Services LLC | Organization | Certified Registered Nurse Anesthetist | Chanute, KS |
| 1326263906 | Pamela Setter | Individual | Clinical Social Worker | Chanute, KS |
Verify this record
Cross-check NPI 1104962182 against the authoritative CMS record: view Mark Witaczack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2007-07-08.