JACK KACZMAREK – Psychiatry Physician, NPI 1679547384

JACK KACZMAREK is a healthcare provider. based in Siletz, Oregon. specializing in Psychiatry Physician. They hold a License No. 9734 (OR). The NPI Number for JACK KACZMAREK is 1679547384

Main info

Male
Name
JACK KACZMAREK
NPI
1679547384
Phone
Not provided
Address
111 FRED TAYLOR RD
Enumeration Date
17 February 2006
Last Update Date
8 July 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACK KACZMAREK

  • 111, Fred Taylor Road, Siletz, Lincoln County, Oregon, 97380, United States

    SILETZ, OR 973809708

    Phone:

    Type: Mailing

  • 36, Southwest Nye Street, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States

    NEWPORT, OR 973653821

    Phone: (541) 265-4179

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97380)

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Reviews

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Frequently asked questions

What is the registry number for JACK KACZMAREK?
The registry entry for JACK KACZMAREK shows NPI 1679547384.
Quick check: is JACK KACZMAREK active?
Public NPPES data shows JACK KACZMAREK with an active NPI status right now.
What type of care does JACK KACZMAREK provide?
JACK KACZMAREK's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JACK KACZMAREK?
JACK KACZMAREK is associated with Siletz, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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