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

Mark Dziemianowicz, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154776029

Mark Dziemianowicz, MD is a Radiation Oncology in Greeley, Colorado. Graduated from Temple University School of Medicine in 2016, 10 years ago. Practices with Banner Hospital Based Physicians Colorado LLC, a 82-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Wyoming.

Years since qualifying
10
Trained at
Temple University School of Medicine
Licensed in
CO, WY
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1801 16th St
Greeley, CO 80631
Phone: (970) 810-3894
Fax: (970) 810-3897
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence DR0072435 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 13549A (WY)

Record details

NPI number1154776029
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2016
Last updated in NPPESFebruary 10, 2025
Certification dateJanuary 2, 2024
Mailing address1801 16th St, Greeley, CO 80631

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Banner Hospital Based Physicians Colorado Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greeley