Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitchell L Wiatrak, MD

Individual provider Urology Physician · NPI 1114914900

Dr. Mitchell L Wiatrak, MD is an Urology in Glasgow, Kentucky. Graduated from University of Michigan Medical School in 1986, 40 years ago. Practices with T J Samson Community Hospital, a 194-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
40
Trained at
University of Michigan Medical School
Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone: (270) 659-5965
Fax: (270) 659-5856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 42456 (KY)

Record details

NPI number1114914900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1986 (40 years in practice)
Group practice T J Samson Community Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glasgow