OrganizationActive
Chanute Radiology, PA
NPI 1619079514 · Diagnostic Radiology Physician · Chanute, KS
Provider details
- NPI number
- 1619079514
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Witzaczack, President(316) 321-5900
- License
- 05-20132 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
629 S Plummer Ave
Chanute, KS 66720-1928
Phone: (316) 321-5900
Fax: (316) 321-4763
Street-level locationGet directions
Mailing address
Po Box 662
Chanute, KS 66720-0662
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.