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

Dr. Zachery Tyler Staskywicz, MD

Individual provider Surgery Physician · NPI 1962054171

Dr. Zachery Tyler Staskywicz, MD is a General Surgery in Grand Forks, North Dakota. Graduated from University of North Dakota School of Medicine in 2019, 7 years ago. Practices with Range Regional Health Services, a 346-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
7
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

University Of North Dakota Smhs Dept OF Surgery 1301 North Columbia Road Stop 9037
Grand Forks, ND 58202
Phone: (701) 293-4151
Fax: (701) 293-4148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence RL15810 (ND)

Record details

NPI number1962054171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 9, 2019

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Range Regional Health Services — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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