Thomas D. Maryniak, P.A.
NPI 1780933267ActiveIndividual· Physician Assistant· Baraboo, WI
Physician Assistant (P.A.) in Baraboo, Wisconsin, licensed in NY, IL, FL and DC, with an NPI issued in August 2012. Enrolled in Medicare as order and referring only - physician assistant.
Overview
| NPI | 1780933267 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Aug 30, 2012 |
| Last updated in NPPES | Apr 19, 2022 |
| Certified by provider | Apr 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 017987 | NY |
| Physician Assistant | 363A00000X | 085004408 | IL |
| Physician Assistant | 363A00000X | PA9107786 | FL |
| Physician Assistant, Medical | 363AM0700X | PA031016 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Physician Assistant (FL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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