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

Mr. Todd Wallace Kaczmark, CRNA

Individual provider Registered Nurse · NPI 1881838753

Mr. Todd Wallace Kaczmark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Weirton, West Virginia. Qualified in 2008, 18 years ago. Practices with Weirton Medical Center Inc, a 24-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and West Virginia.

Years since qualifying
18
Licensed in
PA, WV
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

601 Colliers Way
Weirton, WV 26062-5014
Phone: (304) 797-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 081278 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 74410 (WV)

Record details

NPI number1881838753
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 23, 2009
Last updated in NPPESApril 23, 2009

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Weirton Medical Center Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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