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

Thomas D Maryniak, PA

Individual provider Physician Assistant · NPI 1780933267

Thomas D Maryniak, PA is a Physician Assistant in Baraboo, Wisconsin. Works from 2 locations. Licensed in District of Columbia, Florida, Illinois and New York.

Licensed in
DC, FL, IL, NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1670 S Blvd
Baraboo, WI 53913-2937
Phone: (608) 356-9318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 Overlook Ter, Madison, WI 53705-2254 — (608) 256-1901

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017987 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 085004408 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA9107786 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA031016 (DC)

Record details

NPI number1780933267
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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